Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
J ERIC WIECZOREK, MD
Active Sole ProprietorJ ERIC WIECZOREK, MD is a Geriatric Medicine healthcare provider located in SIDMAN, Pennsylvania. NPI 1356393672 is currently active in the NPPES registry. Verify at CMS.
Geriatric Medicine · SIDMAN, PA
Registration Details
- NPI Number
- 1356393672
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2006 (20.252481840645 yrs)
- Last Updated
- Jan 10, 2011
- Licenses
-
MD027159E (PA)MD 027159E (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
456 LOCUST STREETSIDMAN, PA, 15955Browse PA providers · Browse ZIP 15955
- Phone
- 8144875721
- Fax
- 8144874781
- Primary Specialty
-
Geriatric Medicine
207QG0300X
- Additional Specialty
- Geriatric Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.