Charczuk, Maciej Tadeusz

Charczuk, Maciej Tadeusz is an individual health care provider with primary practice located at 2151 Linglestown Rd Ste. 240, Harrisburg PA 17110-9499. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Charczuk, Maciej Tadeusz can be contacted via phone (717) 541-0700.

Contact Information

Primary practice address
2151 Linglestown Rd Ste. 240 Harrisburg PA 17110-9499
Phone: (717) 541-0700
Fax: (717) 541-5100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X MD420083 Pennsylvania

Profile Details

NPI number 1508833062
LBN Legal business name Charczuk, Maciej Tadeusz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Feb 6th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508833062 NPPES
Pennsylvania MEDICAID 101189897

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