Provider Demographics
NPI:1245778737
Name:KORWEK, DON A (HAS)
Entity Type:Individual
Prefix:
First Name:DON
Middle Name:A
Last Name:KORWEK
Suffix:
Gender:M
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 ROUTE 46
Mailing Address - Street 2:SUITE G51
Mailing Address - City:MOUNTAIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07046-1668
Mailing Address - Country:US
Mailing Address - Phone:973-588-7266
Mailing Address - Fax:
Practice Address - Street 1:2161 S US HIGHWAY 1
Practice Address - Street 2:SUITE B
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-7379
Practice Address - Country:US
Practice Address - Phone:561-575-5552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS 5189237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist