Individual
JOHN J LEWCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
112 HARDING ST, WORCESTER, MA 01604-5020
(508) 964-5592
(508) 453-8185
Mailing address
5 NEPONSET ST FL ST2, WORCESTER, MA 01606-2714
(508) 856-9510
(508) 853-1907
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7090
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0318949
MEDICAID WELFARE
—
05
—
0318949
—
MA
01
—
042472266
ONE HEALTH PLAN
—
01
—
2779432
CIGNA HEALTH PLAN
—
01
—
2779432001
CIGNA PAL ID
—
01
—
35481155
CIGNA HEALTHSOURCE
—
01
—
43207
FALLON COMMUNITY HEALTH
—
01
—
56640
CHILDRENS MEDICAL SECURIT
—
01
—
650017412
RAILROAD MEDICARE
—
01
—
7199625
AETNA US HEALTHCARE
—
01
—
785957
MVP HEALTH CARE
—
01
—
AA4052
HARVARD PILGRIM HEALTHCAR
—
01
—
Y67941
BLUE CARE ELECT
—
01
—
Y68466
MEDICARE B
—
Enumeration date
01/10/2006
Last updated
11/30/2018
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