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NPI Code Detail

MEDICARE: DR. JAROSLAW PIOTR OPIELA M.D.

MEDICARE:  DR. JAROSLAW PIOTR OPIELA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianNC

General Provider Information

NPI Number : 1033172515
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAROSLAW PIOTR OPIELA M.D.
Provider Business Mailing Address
First Line : 115 DUKE RD
Second Line :
City : WINTERVILLE
State : NC
Zip : 28590-9585
Country : US
Telephone Number : 252-814-4758
Fax Number : 252-756-2787
Provider Business Practice Location Address
First Line : 316 S MCCASKEY RD
Second Line :
City : WILLIAMSTON
State : NC
Zip : 27892-2150
Country : US
Telephone Number : 252-792-0022
Fax Number : 252-792-0027
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2006
Last Update Date : 02/12/2008

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Directions to “ DR. JAROSLAW PIOTR OPIELA M.D.” Practice Location

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