Individual
JOSEPH J SLIWKOWSKI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 MOUNT ROYAL AVE, MARLBOROUGH, MA 01752-1981
(508) 251-7262
(508) 251-7265
Mailing address
5 MOUNT ROYAL AVE, MARLBOROUGH, MA 01752-1981
(508) 251-7262
(508) 251-7265
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01051636A
IN
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
74311
MA
2083X0100X
Occupational Medicine Physician
01051636A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000528705
ANTHEM PROVIDER NUMBER
IN
05
—
200264480
—
IN
Enumeration date
03/28/2006
Last updated
02/28/2011
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