Provider Demographics
NPI:1790763001
Name:NADWORNY, HOWARD A LAN (MD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:A LAN
Last Name:NADWORNY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2314 SASSAFRAS ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16502-2722
Mailing Address - Country:US
Mailing Address - Phone:814-456-6194
Mailing Address - Fax:814-452-5777
Practice Address - Street 1:2314 SASSAFRAS ST
Practice Address - Street 2:SUITE 310
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16502-2722
Practice Address - Country:US
Practice Address - Phone:814-456-6194
Practice Address - Fax:814-452-5777
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2020-10-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD031180E207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
B41416Medicare UPIN