Waldemar Szczupak, MD | |
116 Interstate Pkwy, Bradford, PA 16701-1036 | |
(814) 368-3123 | |
Not Available |
Full Name | Waldemar Szczupak |
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Gender | Male |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 116 Interstate Pkwy, Bradford, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962459701 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | MD036989E (Pennsylvania) | Primary |
Entity Name | Charles Cole Memorial Hospital |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1326161662 PECOS PAC ID: 3779487475 Enrollment ID: O20070504000079 |
Entity Name | Keystone Medical Services Of Bradford Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396287991 PECOS PAC ID: 6901189562 Enrollment ID: O20170207000531 |
Mailing Address | Practice Location Address |
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Waldemar Szczupak, MD Po Box 159, Bradford, PA 16701-0159 Ph: (814) 368-3123 | Waldemar Szczupak, MD 116 Interstate Pkwy, Bradford, PA 16701-1036 Ph: (814) 368-3123 |
Glenn Edgar Irwin Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 900 Chestnut Street Ext Ste A, Bradford, PA 16701 Phone: 814-817-2870 Fax: 814-368-8041 | |
John Breznik, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 116 Interstate Pkwy, Bradford, PA 16701 Phone: 814-368-3123 |