Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN MICHAEL GORLOWSKI, M.D.
Deactivated Sole ProprietorJOHN MICHAEL GORLOWSKI, M.D. is a Adolescent Medicine (Pediatrics) healthcare provider located in ST MARYS, Pennsylvania. NPI 1740274729 is deactivated in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · ST MARYS, PA
This NPI has been deactivated.
The record was deactivated on March 24, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1740274729
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 7, 2005 (0.54246575342466 yrs)
- Last Updated
- Apr 23, 2008
- Deactivated
- Mar 24, 2006
- Licenses
-
MD056208-L (PA)024093 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
761 JOHNSONBURG RDSUITE 360ST MARYS, PA, 158573483Browse PA providers · Browse ZIP 15857
- Phone
- 8147818677
- Fax
- 8147818246
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
- Additional Specialty
- Clinical Medical Laboratory
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.