Provider Demographics
NPI:1588273858
Name:WZOREK, ABBEY (PA-C)
Entity type:Individual
Prefix:
First Name:ABBEY
Middle Name:
Last Name:WZOREK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:533 MINOOKA AVE
Mailing Address - Street 2:
Mailing Address - City:MOOSIC
Mailing Address - State:PA
Mailing Address - Zip Code:18507-1047
Mailing Address - Country:US
Mailing Address - Phone:570-903-2818
Mailing Address - Fax:
Practice Address - Street 1:533 MINOOKA AVE
Practice Address - Street 2:
Practice Address - City:MOOSIC
Practice Address - State:PA
Practice Address - Zip Code:18507-1047
Practice Address - Country:US
Practice Address - Phone:570-903-2818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant