Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 028233L | PA |
NPI | 1194982934 |
---|---|
Provider Name | James Kevin Pawlowicz |
First Address | Pittsburgh, PA 15238-3109 |
Second Address | Pittsburgh, PA 15238-3109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2008 |
Last Update Date | 20/05/2008 |