Provider Demographics
NPI:1861011249
Name:BIEROWSKI, ABAGAYLE ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:ABAGAYLE
Middle Name:ELIZABETH
Last Name:BIEROWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ABAGAYLE
Other - Middle Name:ELIZABETH
Other - Last Name:RENKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1020 SANSOM STREET
Mailing Address - Street 2:THOMPSON BUILDING
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107
Mailing Address - Country:US
Mailing Address - Phone:215-955-6844
Mailing Address - Fax:
Practice Address - Street 1:132 S 10TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5244
Practice Address - Country:US
Practice Address - Phone:215-955-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-15
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA188197146N00000X
390200000X
PAMD480303207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program