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Individual

MR. ALAN J PIETRUSZKIEWICZ

Active
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Individual

MR. ALAN J PIETRUSZKIEWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305005749
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
192348
ANTHEM BS
VA
01
P00298797
RR MEDICARE
VA
Enumeration date
07/01/2006
Last updated
08/30/2007
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