Provider Demographics
NPI:1407175094
Name:CHARLES J. PASZEK, INC.
Entity Type:Organization
Organization Name:CHARLES J. PASZEK, INC.
Other - Org Name:GOLD'S GYM HAMBURG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:APPLEBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-648-0677
Mailing Address - Street 1:23 LAKE ST
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-4940
Mailing Address - Country:US
Mailing Address - Phone:716-648-0677
Mailing Address - Fax:716-648-9644
Practice Address - Street 1:23 LAKE ST
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-4940
Practice Address - Country:US
Practice Address - Phone:716-648-0677
Practice Address - Fax:716-648-9644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-23
Last Update Date:2010-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty