NPI Code Details Logo

NPI 1396723474

NPI 1396723474 : DENNIS E ULEWICZ M.D. : GREENSBURG, PA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1396723474
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    DENNIS E ULEWICZ M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/09/2006
-----------------------------------------------------
    Last Update Date     |    10/25/2020
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    6321 ROUTE 30 STE B 
-----------------------------------------------------
    City                 |    GREENSBURG
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    15601-9704
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    724-671-1740
-----------------------------------------------------
    Fax                  |    724-523-7724
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    6321 ROUTE 30 STE B 
-----------------------------------------------------
    City                 |    GREENSBURG
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    15601-9704
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    724-671-1740
-----------------------------------------------------
    Fax                  |    724-523-7724
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2085R0203X
-----------------------------------------------------
    Taxonomy Name        |    Therapeutic Radiology Physician
-----------------------------------------------------
    License Number       |    35.125085
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    2085R0001X
-----------------------------------------------------
    Taxonomy Name        |    Radiation Oncology Physician
-----------------------------------------------------
    License Number       |    35.125085
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    2085R0203X
-----------------------------------------------------
    Taxonomy Name        |    Therapeutic Radiology Physician
-----------------------------------------------------
    License Number       |    MD065438L
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    2085R0001X
-----------------------------------------------------
    Taxonomy Name        |    Radiation Oncology Physician
-----------------------------------------------------
    License Number       |    MD065438L
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.