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NPI Code Detail

MEDICARE: MR. PAUL EDWARD SUROWIEC RN

MEDICARE: MR. PAUL EDWARD SUROWIEC RN
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
1163WH0200XHome Health Registered NurseL1-0050951DE

General Provider Information

NPI Number : 1811868912
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAUL EDWARD SUROWIEC RN
Provider Business Mailing Address
First Line : 205 NORTHDOWN DR
Second Line :
City : DOVER
State : DE
Zip : 19904-9754
Country : US
Telephone Number : 302-241-3248
Fax Number :
Provider Business Practice Location Address
First Line : 3531 PHILADELPHIA PIKE
Second Line :
City : CLAYMONT
State : DE
Zip : 19703-3106
Country : US
Telephone Number : 302-208-8154
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2025
Last Update Date : 09/13/2025

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