Provider Demographics
NPI:1225146343
Name:TOMASZEWSKI, WILLIAM (DPM)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:TOMASZEWSKI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3911 BATTLEGROUND AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-9499
Mailing Address - Country:US
Mailing Address - Phone:336-763-9355
Mailing Address - Fax:336-763-9354
Practice Address - Street 1:3911 BATTLEGROUND AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-9499
Practice Address - Country:US
Practice Address - Phone:336-763-9355
Practice Address - Fax:336-763-9354
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC297213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890814MMedicaid
NC890814MMedicaid
NC2432210AMedicare ID - Type UnspecifiedINDIVIDUAL MEDICARE NUMBE