| Richard M. Dwoskin, M.d., P.a. | |
|
3370 Burns Rd Ste 105a Palm Beach Gardens FL 33410-4327 | |
| (561) 775-1506 | |
| Not Available |
| Full Name | Richard M. Dwoskin, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3370 Burns Rd Ste 105a, Palm Beach Gardens, Florida |
| Authorized Official Name and Position | Richard Mark Dwoskin (PRESIDENT) |
| Authorized Official Contact | 5617751506 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard M. Dwoskin, M.d., P.a. 12 Wycliff Rd Palm Beach Gardens FL 33418-6846 Ph: () - | Richard M. Dwoskin, M.d., P.a. 3370 Burns Rd Ste 105a Palm Beach Gardens FL 33410-4327 Ph: (561) 775-1506 |
| NPI Number | 1508159427 |
|---|---|
| Provider Enumeration Date | 05/25/2011 |
| Last Update Date | 08/30/2022 |
| Medicare PECOS PAC ID | 4385822162 |
|---|---|
| Medicare Enrollment ID | O20110627000115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508159427 | NPI | - | NPPES |
| 040227300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Richard M Dwoskin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609841717 PECOS PAC ID: 8628256401 Enrollment ID: I20110627000145 |
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