Provider Demographics
NPI:1598781445
Name:CHRZANOWSKI, ROBERT (MD, FACEP)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:CHRZANOWSKI
Suffix:
Gender:M
Credentials:MD, FACEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 WOODCOCK CT
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:DE
Mailing Address - Zip Code:19934-9536
Mailing Address - Country:US
Mailing Address - Phone:302-735-8890
Mailing Address - Fax:
Practice Address - Street 1:200 BANNING ST
Practice Address - Street 2:STE 170
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-3485
Practice Address - Country:US
Practice Address - Phone:302-674-1999
Practice Address - Fax:302-674-3990
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0003736207P00000X
PA22873-E207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0001116601Medicaid
DE00A326D18Medicare PIN
F06234Medicare UPIN