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Individual

EDWARD J PIENKOS

Active
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Individual

EDWARD J PIENKOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
01081847A
IN
208800000X
Urology Physician
Primary
DR.0069785
CO
208800000X
Urology Physician
MD2007-0640
NM
208800000X
Urology Physician
ME98814
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
88435768
NM
Enumeration date
11/22/2005
Last updated
11/14/2022
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