Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | MD432311 | PA |
NPI | 1033316542 |
---|---|
Provider Name | Pawel G Ochalski |
First Address | York, PA 17402-4661 |
Second Address | York, PA 17402-4661 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2007 |
Last Update Date | 24/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
055013200 | (05) | MD |
102705992 | (05) | PA |
1608781 | GATEWAY (01) | PA |
2701242 | HIGHMARK BLUE SHIELD (01) | PA |
30119238 | AMERIHEALTH MERCY - WMG (01) | PA |
418491 | UPMC (01) | PA |