Provider Demographics
NPI:1003927559
Name:NIEWIAROWSKA, ANNA ALINA (MD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:ALINA
Last Name:NIEWIAROWSKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:306 S NEW ST
Mailing Address - Street 2:STE 201
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1652
Mailing Address - Country:US
Mailing Address - Phone:610-866-0113
Mailing Address - Fax:610-974-8589
Practice Address - Street 1:306 S NEW ST STE 201
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-1652
Practice Address - Country:US
Practice Address - Phone:610-866-0113
Practice Address - Fax:610-974-8589
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD041008L207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014316580002Medicaid
PAF46914Medicare UPIN
PANI039766Medicare ID - Type UnspecifiedANNA A. NIEWIAROWSKA, M.D
PA0014316580002Medicaid