Provider Demographics
NPI:1548229396
Name:PYPIUK, GREGORY T (PA-C)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:T
Last Name:PYPIUK
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:5325 NORTHGATE DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-9411
Mailing Address - Country:US
Mailing Address - Phone:610-867-3171
Mailing Address - Fax:610-867-1941
Practice Address - Street 1:NORTHGATE UROLOGY
Practice Address - Street 2:5325 NORTHGATE DRIVE, STE 203
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017
Practice Address - Country:US
Practice Address - Phone:610-867-3171
Practice Address - Fax:610-867-1941
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-21
Last Update Date:2007-07-31
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA098659QCVMedicare ID - Type Unspecified
PA898435Medicare UPIN