MEDICARE: GYORGY SCHRADER POLCZER L.AC.

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	171100000X	Acupuncturist	LAC-1095	NC
2	171100000X	Acupuncturist	AK001418	PA

General Provider Information

NPI Number	:	1801697552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GYORGY SCHRADER POLCZER L.AC.

Provider Business Mailing Address
First Line	:	6358 WOODBINE AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19151-2526
Country	:	US
Telephone Number	:	919-619-8689
Fax Number	:

Provider Business Practice Location Address
First Line	:	6358 WOODBINE AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19151-2526
Country	:	US
Telephone Number	:	919-619-8689
Fax Number	:

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

Provider Enumeration Date	:	03/20/2025
Last Update Date	:	03/20/2025

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