Provider Demographics
NPI:1023103884
Name:SZAWLEWICZ, STEPHEN JUSTIN (MD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:JUSTIN
Last Name:SZAWLEWICZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 TRENTON ROAD
Mailing Address - Street 2:
Mailing Address - City:BROWNS MILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:08015
Mailing Address - Country:US
Mailing Address - Phone:609-893-6611
Mailing Address - Fax:609-893-6038
Practice Address - Street 1:200 TRENTON ROAD
Practice Address - Street 2:
Practice Address - City:BROWNS MILLS
Practice Address - State:NJ
Practice Address - Zip Code:08015
Practice Address - Country:US
Practice Address - Phone:609-893-6611
Practice Address - Fax:609-893-6038
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA070998207R00000X
NJ25MA07099800207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
3082253OtherCIGNA
NJ8325901Medicaid
3772967OtherAETNA US-HEALTHCARE
919655OtherAMERIHEALTH PPO
010006211 01OtherAMERICHOICE
0859769000OtherAMERIHEALTH, HMO, KEYSTONE, IBC
60014440OtherHORIZON NJ HEALTH
1791436OtherUNITED HEALTH CARE
P2199116OtherOXFORD HEALTH PLAN
1791436OtherUNITED HEALTH CARE
P2199116OtherOXFORD HEALTH PLAN