Provider Demographics
NPI:1659127967
Name:KUROWSKI MD SPINE AND PAIN MANAGEMENT LLC
Entity type:Organization
Organization Name:KUROWSKI MD SPINE AND PAIN MANAGEMENT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:MAREK
Authorized Official - Middle Name:
Authorized Official - Last Name:KUROWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:570-980-1518
Mailing Address - Street 1:PO BOX 259
Mailing Address - Street 2:
Mailing Address - City:MILL HALL
Mailing Address - State:PA
Mailing Address - Zip Code:17751-0259
Mailing Address - Country:US
Mailing Address - Phone:570-980-1518
Mailing Address - Fax:570-276-0645
Practice Address - Street 1:6850 LOWS RD STE 325
Practice Address - Street 2:
Practice Address - City:BLOOMSBURG
Practice Address - State:PA
Practice Address - Zip Code:17815-8708
Practice Address - Country:US
Practice Address - Phone:570-980-1518
Practice Address - Fax:570-276-0645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-26
Last Update Date:2024-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty