Individual
DR. STANISLAW JOZEF GABRYSZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3401 CIVIC CENTER BLVD, 9NW ROOM 55, PHILADELPHIA, PA 19104
(215) 590-1220
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF ALLERGY & IMMUNOLOGY, PHILADELPHIA, PA 19104
(215) 590-2549
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MT214866
PA
208000000X
Pediatrics Physician
MT214866
PA
Other
Enumeration date
06/12/2018
Last updated
06/26/2020
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