Provider Demographics
NPI:1235408345
Name:JUROWICZ, ALBERT F JR (CRNA)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:F
Last Name:JUROWICZ
Suffix:JR
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 S CEDAR CREST BLVD STE 301
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6258
Mailing Address - Country:US
Mailing Address - Phone:610-402-8896
Mailing Address - Fax:610-402-9029
Practice Address - Street 1:1245 S CEDAR CREST BLVD STE 301
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6258
Practice Address - Country:US
Practice Address - Phone:610-402-8896
Practice Address - Fax:610-402-9029
Is Sole Proprietor?:No
Enumeration Date:2011-12-19
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA89641367500000X
PARN-546550163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA12320857OtherCAQH
PA1235408345OtherGEISINGER
PA9129832OtherAETNA
PA2678601OtherFIRST PRIORITY
PA2678601OtherHIGHMARK
PA3871644000OtherIND. BLUE CROSS
PA50105448OtherCAPITAL ADVANTAGE
PA1027825800001Medicaid
PA1605005OtherGATEWAY
PA2678601OtherHIGHMARK
PA1027825800001Medicaid