Healthcare Provider Details

I. General information

NPI: 1316982416
Provider Name (Legal Business Name): JOHN A SUNYECZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 08/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1142 NATIONAL PIKE
HOPWOOD PA
15445-2250
US

IV. Provider business mailing address

1142 NATIONAL PIKE
HOPWOOD PA
15445-2250
US

V. Phone/Fax

Practice location:
  • Phone: 724-437-2147
  • Fax: 724-438-8856
Mailing address:
  • Phone: 724-437-2147
  • Fax: 724-438-8856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number29191
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD053519L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: