National Provider Identifier Database

J E WIECZOREK, MD – NPI #1356393672
Geriatric Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.


Contact Information

J E WIECZOREK, MD
456 LOCUST STREET
SIDMAN, PA15955
Phone: 814-487-5721
Fax: 814-487-4781
Website:
Specialty Taxonomy Code
* Geriatric Medicine 207QG0300X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for J E WIECZOREK

NPI Number 1356393672
Credentials MD
Entity Individual
Enumeration date 05/16/2006
Last updated 01/10/2011 - About 15 years ago
Sole proprietor1 Yes
Identifiers
  • PA License #: MD 027159E
  • PA License #: MD027159E
  • PA Medicaid: 0010215060002
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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