Provider Demographics
NPI:1659575025
Name:BARTOSIEWICZ, GREG NORMAN (AP)
Entity Type:Individual
Prefix:MR
First Name:GREG
Middle Name:NORMAN
Last Name:BARTOSIEWICZ
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17029 38TH LANE NORTH
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-3653
Mailing Address - Country:US
Mailing Address - Phone:561-793-1472
Mailing Address - Fax:561-626-8733
Practice Address - Street 1:4360 NORTHLAKE BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-6274
Practice Address - Country:US
Practice Address - Phone:561-626-8723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2305171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist