Doctor Name: | DR. JAN S GRUDZIAK |
NPI Number: | 1053384966 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D., PH.D |
License Number: | MD066891L |
Business Practice Address: | 3705 5th Ave Chp, Pediatric Orthopaedic Surgery Pittsburgh, PA - 152132524 |
Business Phone Number: | 4126926746 |
Business Fax Number: | |
Mailing Address: | 3705 5th Ave, Chp, Pediatric Orthopaedic Surgery PITTSBURGH |
State: | PA |
Postal Code: | 152132584 |
Phone Number: | 4126926746 |
Fax Number: | 4126926088 |
NPI Enumeration Date: | 02/10/2006 |
NPI Last Update Date: | 06/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD066891L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |