Individual
LUCIANO KAPELUSZNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 OLD LANCASTER RD, SUITE 320, BRYN MAWR, PA 19010-3231
(610) 527-3800
(610) 527-0334
Mailing address
825 OLD LANCASTER RD, SUITE 320, BRYN MAWR, PA 19010-3231
(610) 527-3800
(610) 527-0334
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD-448567
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
550704900
—
MD
01
—
974684-01
CAREFIRST BC/BS
MD
01
—
S062-0436
CAREFIRST BC/BS - REGIONAL
MD
Enumeration date
08/02/2006
Last updated
04/05/2017
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