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NPI Code Detail

MEDICARE: DOUGLAS JOSEPH MASLOWSKI

MEDICARE: DOUGLAS JOSEPH MASLOWSKI
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
1207P00000XEmergency Medicine PhysicianMASL-5ZSWNNNC
2207P00000XEmergency Medicine Physician303112NC
3207P00000XEmergency Medicine Physician36222WV

General Provider Information

NPI Number : 1609454420
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS JOSEPH MASLOWSKI
Provider Business Mailing Address
First Line : 1000 BLYTHE BLVD
Second Line : CMC/ DEPT OF EMERGENCY MEDICINE
City : CHARLOTTE
State : NC
Zip : 28203-5812
Country : US
Telephone Number : 704-355-3181
Fax Number : 704-355-7047
Provider Business Practice Location Address
First Line : 1000 BLYTHE BLVD
Second Line : CMC/ DEPT OF EMERGENCY MEDICINE
City : CHARLOTTE
State : NC
Zip : 28203-5871
Country : US
Telephone Number : 704-355-3181
Fax Number : 704-355-7047
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2021
Last Update Date : 02/02/2026

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Directions to “ DOUGLAS JOSEPH MASLOWSKI ” Practice Location

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