Individual provider · NPI-1

Dr. Eugene Andruczyk, D.O.

Obstetrics & Gynecology, Gynecology · Philadelphia, PA

NPI number1780636498

StatusActive

Last updated in NPPESDec 31, 2009

Details

NPI: 1780636498
Entity type: Individual (NPI-1)
Name: Dr. Eugene Andruczyk
Credential: D.O.
Sex: Male
Sole proprietor: Yes
Enumeration date: May 17, 2006
Last updated: Dec 31, 2009

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207VG0400X	Obstetrics & Gynecology, Gynecology	OS003427L	PA	Yes

Practice location

9501 Roosevelt Blvd
Suite 404
Philadelphia, PA 19114-1025

Phone 215-676-3280 · Fax 215-673-8210

Mailing address

9501 Roosevelt Blvd
Suite 404
Philadelphia, PA 19114-1025

Phone 215-676-3280 · Fax 215-673-8210

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