Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MT193598 | PA |
N | 111NI0900X | Internist | MT193598 | PA |
N | 207RC0200X | Critical Care Medicine | MD448711 | PA |
Y | 207RP1001X | Pulmonary Disease | MD448711 | PA |
NPI | 1073776332 |
---|---|
Provider Name | Aaron Czysz |
First Address | Philadelphia, PA 19178-3311 |
Second Address | Allentown, PA 18103-6224 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2008 |
Last Update Date | 06/04/2020 |