Provider Demographics
NPI:1063992550
Name:BARNWELL, TERESA PALUSZCYK (MD)
Entity type:Individual
Prefix:DR
First Name:TERESA
Middle Name:PALUSZCYK
Last Name:BARNWELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:TERESA
Other - Middle Name:LIEKO
Other - Last Name:PALUSZCYK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 9818
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85068-9818
Mailing Address - Country:US
Mailing Address - Phone:602-978-5800
Mailing Address - Fax:
Practice Address - Street 1:13232 N 14TH PL
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-4901
Practice Address - Country:US
Practice Address - Phone:602-863-9922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-15
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ230322086H0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086H0002XAllopathic & Osteopathic PhysiciansSurgeryHospice and Palliative Medicine