Provider Demographics
NPI:1235568346
Name:CZARTORYSKI, BEATA JOANNA
Entity Type:Individual
Prefix:MRS
First Name:BEATA
Middle Name:JOANNA
Last Name:CZARTORYSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 LASALLE RD
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-8548
Mailing Address - Country:US
Mailing Address - Phone:865-483-7468
Mailing Address - Fax:
Practice Address - Street 1:195 LASALLE RD
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-8548
Practice Address - Country:US
Practice Address - Phone:865-483-7468
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular Sonography
No247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist
No2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN8027821527Medicare PIN