Dr. Tomasz Sebastian Gregory Fudalewski
Family Doctor
2400 S Ave A
Yuma
, Arizona 85364
Dr. Tomasz Sebastian Gregory Fudalewski
Family Doctor
2400 S Ave A
Yuma
, Arizona 85364
(928) 336-1290
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Tomasz Sebastian Gregory Fudalewski
- 2400 S Avenue A
- Yuma, AZ
- Zip : 85364-7127
- Phone : (928) 336-1290
Second Address
- Dr. Tomasz Sebastian Gregory Fudalewski
- 2400 S Ave A
- Yuma, AZ
- Zip : 85364
- Phone : (928) 336-1290
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 1908R76442 | AZ |
National Provider Identifier
| NPI | 1003336777 |
|---|---|
| Provider Name | Dr. Tomasz Sebastian Gregory Fudalewski |
| First Address | Yuma, AZ 85364-7127 |
| Second Address | Yuma, AZ 85364 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2017 |
| Last Update Date | 23/06/2017 |
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.