Individual
DR. ALEXANDER WOJCIECH PASTUSZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
30 N 1900 E DEPT OF, SALT LAKE CITY, UT 84132-0002
(801) 581-7304
Mailing address
DEPT OF SURGERY AT UNIVERSITY OF UTAH 30 N 1900 E, SALT LAKE CITY, UT 84132-0001
(217) 880-5494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
302748
NY
208600000X
Surgery Physician
BP10032207
TX
208800000X
Urology Physician
BP10032207
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10032207
TEXAS MEDICAL BOARD
TX
Enumeration date
11/11/2008
Last updated
11/11/2021
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