Individual
BRIAN LUKE CISZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5008
Mailing address
4010 EVAN CIR, SUFFOLK, VA 23435-1177
(469) 744-6676
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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