person
Eugene Jon Pietzak, MD
Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania
NPI 1043539729

Eugene Jon Pietzak is a Student in an Organized Health Care Education/Training Program based in Philadelphia, PA. Eugene Jon Pietzak practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Eugene Jon Pietzak is 1043539729 and holds a License No. MT197755 (Pennsylvania).

The current practice location address for Eugene Jon Pietzak is 3400 Spruce St, Philadelphia, PA and can be reached out via phone at 215-349-5042.

Location: 3400 Spruce St, Philadelphia, PA, 19104-4206
person
Provider Profile Details
NPI Number
1043539729
Provider Name
Eugene Jon Pietzak
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3400 Spruce St, Philadelphia, PA, 19104-4206
Phone Number
215-349-5042
Fax Number
Provider Enumeration Date
05/20/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3400 Spruce St
City
State
Zip
19104-4206
Phone Number
215-349-5042
Fax Number
person
Provider Business Mailing Address Details
Address
3400 Spruce St
City
State
Zip
19104-4206
Phone Number
215-349-5042
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
License No.
MT197755 (Pennsylvania)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
MT197755 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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