Provider Demographics
NPI:1992397392
Name:ZAPARZYNSKI, BRYCE JOSEPH
Entity Type:Individual
Prefix:
First Name:BRYCE
Middle Name:JOSEPH
Last Name:ZAPARZYNSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 BROOKLYN ST
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:16933-9708
Mailing Address - Country:US
Mailing Address - Phone:607-684-5680
Mailing Address - Fax:
Practice Address - Street 1:75 BROOKLYN ST
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:PA
Practice Address - Zip Code:16933-9708
Practice Address - Country:US
Practice Address - Phone:607-684-5680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-07
Last Update Date:2021-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
SWR102559206001OtherHIGHMARK BCBS