Provider Demographics
NPI:1548203813
Name:BARZYK, PETER PAUL III (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:PAUL
Last Name:BARZYK
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:350 E BAYFRONT PKWY
Mailing Address - Street 2:UNIT C
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16507-2410
Mailing Address - Country:US
Mailing Address - Phone:814-455-2279
Mailing Address - Fax:814-871-1786
Practice Address - Street 1:350 E BAYFRONT PKWY
Practice Address - Street 2:UNIT C
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16507-2410
Practice Address - Country:US
Practice Address - Phone:814-455-2279
Practice Address - Fax:814-871-1786
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD020027E207RN0300X
OH35048067207RN0300X
NC5957207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0005974720003Medicaid
65109Medicare ID - Type Unspecified
PA0005974720003Medicaid