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Individual

ADRIANA S PRAWAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
525 W CHESTER PIKE, SUITE 203, HAVERTOWN, PA 19083-4539
(610) 789-7767
(610) 789-7768
Mailing address
525 WEST CHESTER PIKE, SUITE 203, HAVERTOWN, PA 19083
(610) 789-7767
(610) 789-7768

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
OS009727L
PA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OS009727L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0018475700003
PA
Enumeration date
06/30/2006
Last updated
04/04/2012
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