Dr. Thaddeus Raymond Szydlowski
Gastroenterologist
761 Norman Dr
Lebanon
, Pennsylvania 17042-7497
Dr. Thaddeus Raymond Szydlowski
Gastroenterologist
761 Norman Dr
Lebanon
, Pennsylvania 17042-7497
(717) 274-9746
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Dr. Thaddeus Raymond Szydlowski
- Po Box 300
- Lebanon, PA
- Zip : 17042-0300
- Fax : (717) 274-9746
- Phone : (717) 270-7780
Second Address
- Dr. Thaddeus Raymond Szydlowski
- 761 Norman Dr
- Lebanon, PA
- Zip : 17042-7497
- Fax : (717) 273-6937
- Phone : (717) 376-1180
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | MD014356E | PA |
National Provider Identifier
| NPI | 1053304352 |
|---|---|
| Provider Name | Dr. Thaddeus Raymond Szydlowski |
| First Address | Lebanon, PA 17042-0300 |
| Second Address | Lebanon, PA 17042-7497 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/08/2005 |
| Last Update Date | 21/11/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0006698670002 | (05) | PA |
| 151298 | GATEWAY HEALTH PLAN (01) | |
| 50046058 | CAPITAL BLUE CROSS (01) | |
| 91402 | HIGHMARK BLUE SHIELD (01) | |
| B35500 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.