Individual
DR. PHILIP JOHN DZWONCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33-57 HARRISON ST, JOHNSON CITY, NY 13790-2107
(607) 763-6622
Mailing address
33 LEWIS RD, 2ND FLOOR, BINGHAMTON, NY 13905-1048
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
142489
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
142489
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00474731
—
NY
Enumeration date
02/14/2006
Last updated
10/25/2016
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