Individual
DR. DAVID JAMES KACZOROWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 LOTHROP ST # C-700, PITTSBURGH, PA 15213-2536
(412) 648-6200
(412) 648-6358
Mailing address
PO BOX 64226, BALTIMORE, MD 21264-4226
(667) 214-1720
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD428194
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD428194
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060070900
—
MD
05
—
102766334
—
PA
01
—
1615961
GATEWAY
PA
01
—
2759686
HIGHMARK BLUE SHIELD
PA
01
—
30136914
AMERIHEALTH MERCY - WMG
PA
Enumeration date
04/16/2007
Last updated
06/24/2021
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