Provider Demographics
NPI:1295781789
Name:CZYSZ, AUGUSTA L (MD)
Entity type:Individual
Prefix:
First Name:AUGUSTA
Middle Name:L
Last Name:CZYSZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:307 BOATNER RD
Mailing Address - Street 2:STE 114
Mailing Address - City:EGLIN AFB
Mailing Address - State:FL
Mailing Address - Zip Code:32542-1391
Mailing Address - Country:US
Mailing Address - Phone:850-883-8227
Mailing Address - Fax:850-883-9090
Practice Address - Street 1:307 BOATNER RD
Practice Address - Street 2:STE 114
Practice Address - City:EGLIN AFB
Practice Address - State:FL
Practice Address - Zip Code:32542-1391
Practice Address - Country:US
Practice Address - Phone:850-883-8227
Practice Address - Fax:850-883-9090
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2009-09-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA227851207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine