Provider Demographics
NPI:1588726798
Name:DANIEL B. WESTAWSKI, MD, PC
Entity type:Organization
Organization Name:DANIEL B. WESTAWSKI, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:WESTAWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-527-4050
Mailing Address - Street 1:919 CONESTOGA RD
Mailing Address - Street 2:BUILDING 2, SUITE 208
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-1352
Mailing Address - Country:US
Mailing Address - Phone:610-527-4050
Mailing Address - Fax:610-527-4054
Practice Address - Street 1:919 CONESTOGA RD
Practice Address - Street 2:BUILDING 2, SUITE 208
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-1352
Practice Address - Country:US
Practice Address - Phone:610-527-4050
Practice Address - Fax:610-527-4054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA053438L208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PWH20942Medicare UPIN
PA086397Medicare ID - Type Unspecified