Individual
DANIEL BAZYLEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 ENGLISH CREEK AVE STE 1300, EGG HARBOR TOWNSHIP, NJ 08234-5598
(800) 321-9999
(609) 677-6061
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4430
(609) 677-7003
(267) 339-3761
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA09719000
NJ
207X00000X
Orthopaedic Surgery Physician
MD455197
PA
207XX0801X
Orthopaedic Trauma Physician
25MA09719000
NJ
207XX0801X
Orthopaedic Trauma Physician
MD455197
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538393178
—
NC
05
—
NC2179
—
SC
Enumeration date
05/11/2009
Last updated
11/03/2021
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