Individual
DR. EDWARD DZIELAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5 S WASHINGTON AVE, JERMYN, PA 18433-1121
(570) 230-0019
Mailing address
501 S WASHINGTON AVE STE 1000, SCRANTON, PA 18505-3814
(570) 343-2383
(570) 343-3923
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS004141L
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
OS004141L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000834808
—
PA
Enumeration date
03/07/2006
Last updated
03/10/2022
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