Provider Demographics
NPI:1396778551
Name:CHORAZY, ZDZISLAW J (MD)
Entity type:Individual
Prefix:
First Name:ZDZISLAW
Middle Name:J
Last Name:CHORAZY
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:311 WEST 24TH STREET
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16502-2665
Mailing Address - Country:US
Mailing Address - Phone:814-452-4214
Mailing Address - Fax:814-461-8424
Practice Address - Street 1:311 WEST 24TH STREET
Practice Address - Street 2:SUITE 101
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16502-2665
Practice Address - Country:US
Practice Address - Phone:814-452-4214
Practice Address - Fax:814-461-8424
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2020-10-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD038808L208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0968810Medicaid
B34993Medicare UPIN
PA0968810Medicaid