Organization
JOHN B. CHAWLUK, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH A. PIEL (OFFICE MANAGER)
(570) 622-2245
Entity
Organization
Contact information
Practice address
48 TUNNEL RD, SUITE 101, POTTSVILLE, PA 17901-3875
(570) 622-2245
Mailing address
48 TUNNEL RD, SUITE 101, POTTSVILLE, PA 17901-3875
(570) 622-2245
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010149690012
—
PA
01
—
02337500
CAPITAL BLUE CROSS
PA
01
—
1324194
HIGHMARK NUMBER
PA
Enumeration date
03/28/2006
Last updated
07/12/2007
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