Individual
PETER PITYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1840 QUENTIN RD, LEBANON, PA 17042-7436
(717) 272-9765
Mailing address
254 TROON WAY, LEBANON, PA 17042-4151
(717) 270-2002
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD033786E
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD033786E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011368450005
—
PA
Enumeration date
10/07/2005
Last updated
08/21/2019
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