Provider Demographics
NPI:1104037274
Name:GRZYWACZ, FRANCIS (MD)
Entity type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:
Last Name:GRZYWACZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2567
Mailing Address - Country:US
Mailing Address - Phone:267-893-6800
Mailing Address - Fax:267-893-6820
Practice Address - Street 1:599 W STATE ST
Practice Address - Street 2:SUITE 200
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2567
Practice Address - Country:US
Practice Address - Phone:267-893-6800
Practice Address - Fax:267-893-6820
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4204878207RC0000X
PAMD420478207UN0901X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1483295OtherPA BLUE SHIELD
PA1699984OtherAETNA
PA2173580000OtherIBC
PA0019573480005Medicaid
PA1699984OtherAETNA
PA067983Medicare PIN