Provider Demographics
NPI:1700886397
Name:SZOKE, EDWARD E (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:E
Last Name:SZOKE
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 1:11 HUNTERS TRL
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-7281
Mailing Address - Country:US
Mailing Address - Phone:717-334-7681
Mailing Address - Fax:717-334-0730
Practice Address - Street 1:11 HUNTERS TRL
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-7281
Practice Address - Country:US
Practice Address - Phone:717-334-7681
Practice Address - Fax:717-334-0730
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD024837E2080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009829180002Medicaid
PA0009829180002Medicaid
PA232193641OtherEIN NUMBER