Provider Demographics
NPI:1689824922
Name:PAUL J. PAWLOSKY OB-GYN, INC.
Entity Type:Organization
Organization Name:PAUL J. PAWLOSKY OB-GYN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:J
Authorized Official - Last Name:PAWLOSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:937-748-3347
Mailing Address - Street 1:1989 MIAMISBURG CENTERVILLE RD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45459-3859
Mailing Address - Country:US
Mailing Address - Phone:937-528-6890
Mailing Address - Fax:937-528-6893
Practice Address - Street 1:1989 MIAMISBURG CENTERVILLE RD
Practice Address - Street 2:SUITE 302
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-3859
Practice Address - Country:US
Practice Address - Phone:937-528-6890
Practice Address - Fax:937-528-6893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34004550207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty