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Contact Information

J E WIECZOREK, MD
456 LOCUST STREET
SIDMAN, PA15955
 Phone: 814-487-5721
 Fax: 814-487-4781
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for J E WIECZOREK · (Male)

NPI Number 1356393672
Status Active
Credentials MD
Entity Individual
Enumeration date 05/16/2006
Last updated 01/10/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # MD 027159E
  • PA License # MD027159E
  • PA Medicaid 0010215060002
Hospital affiliation(s)
  • CONEMAUGH VALLEY MEMORIAL HOSPITAL - (Acute Care)
    1086 FRANKLIN STREET
    JOHNSTOWN, PA 15905
  • WINDBER HOSPITAL - (Acute Care)
    600 SOMERSET AVENUE
    WINDBER, PA 15963
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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