Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0208X | Pediatric Infectious Diseases | 190235 | NY |
N | 2080P0208X | Pediatric Infectious Diseases | 25MA06584700 | NJ |
Y | 2080P0208X | Pediatric Infectious Diseases | 61511 | AZ |
NPI | 1285601682 |
---|---|
Provider Name | Dr. Julia Ann Piwoz |
First Address | Chandler, AZ 85246-8022 |
Second Address | Phoenix, AZ 85016-7710 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2006 |
Last Update Date | 06/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7422504 | (05) | NJ |
G66799 | (02) |