Organization
DR. JOHN TRZESNIOWSKI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN G TRZESNIOWSKI D.O. (PHYSICIAN)
(215) 426-3610
Entity
Organization
Contact information
Practice address
2716 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-5916
(215) 426-3610
(215) 426-6835
Mailing address
2716 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-5916
(215) 426-3610
(215) 426-6835
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS003175L
PA
208D00000X
General Practice Physician
OS016628
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006115620001
—
PA
Enumeration date
01/13/2014
Last updated
01/16/2014
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