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1538393178

NPI Code Detail

MEDICARE: DANIEL BAZYLEWICZ MD

MEDICARE: DANIEL BAZYLEWICZ MD

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
1	207X00000X	Orthopaedic Surgery Physician	MD455197	PA
2	207XX0801X	Orthopaedic Trauma Physician	MD455197	PA
3	207XX0801X	Orthopaedic Trauma Physician	25MA09719000	NJ
4	207X00000X	Orthopaedic Surgery Physician	25MA09719000	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538393178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL BAZYLEWICZ MD

Provider Business Mailing Address
First Line	:	833 CHESTNUT ST STE 520
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-4430
Country	:	US
Telephone Number	:	609-677-7003
Fax Number	:	267-339-3761

Provider Business Practice Location Address
First Line	:	2500 ENGLISH CREEK AVE STE 1300
Second Line	:
City	:	EGG HARBOR TOWNSHIP
State	:	NJ
Zip	:	08234-5598
Country	:	US
Telephone Number	:	800-321-9999
Fax Number	:	609-677-6061

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2009
Last Update Date	:	11/03/2021

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Directions to “ DANIEL BAZYLEWICZ MD” Practice Location

Language	Start Address	Practice Location

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