Provider Demographics
NPI:1255547568
Name:RAYMOND G JUREWICZ PC
Entity type:Organization
Organization Name:RAYMOND G JUREWICZ PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:JUREWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT ECS
Authorized Official - Phone:412-731-0173
Mailing Address - Street 1:213 THORNBERRY DR
Mailing Address - Street 2:
Mailing Address - City:PENN HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15235-5063
Mailing Address - Country:US
Mailing Address - Phone:412-731-0173
Mailing Address - Fax:
Practice Address - Street 1:6001 STONEWOOD DR
Practice Address - Street 2:2ND FLOOR
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-7380
Practice Address - Country:US
Practice Address - Phone:412-731-0173
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT003430L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAJU570040Medicare ID - Type Unspecified
PAS79557Medicare UPIN