Christopher David Ewanowski in Lutz - Procedural Dermatology

Christopher David Ewanowski - NPI 1780880476

Christopher David Ewanowski is a Procedural Dermatology in Lutz, Florida. Christopher David Ewanowski practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Christopher David Ewanowski is 1780880476. The last update date is 2019-01-15.

Christopher David Ewanowski's current location address is 4651 Van Dyke Rd, Lutz, Florida. You can contact this provider via phone number 8133211786 and fax number 8133211787. The mailing address for Christopher David Ewanowski is 4651 Van Dyke Rd, Lutz, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Christopher David Ewanowski
Address 4651 Van Dyke Rd, Lutz, Florida
Phone Number 8133211786
Fax Number 8133211787
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1780880476
Provider Enumeration Date 2007-06-21
Last Updated Date 2019-01-15

Provider Mailing Address Detail

Address 4651 Van Dyke Rd
City Lutz
State Florida (FL)
Post Code 335584880
Phone Number 8133211786
Fax Number 8133211787

Provider's Primary Taxonomy Detail

Speciality Procedural Dermatology
Taxonomy 207Ns0135X
Licence No ME100378
Definition:
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1792300 FL --

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FAQs about Christopher David Ewanowski

What is the unique 10-digit identifier code issued to Christopher David Ewanowski by the Centers for Medicare & Medicaid Services?

The Christopher David Ewanowski has been assigned the NPI (National Provider Identifier) 1780880476 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Christopher David Ewanowski's physical address?

The Christopher David Ewanowski is physically located at 4651 Van Dyke Rd, in the city of Lutz, FL, with the postal code 335584880.

What is Christopher David Ewanowski's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Christopher David Ewanowski is Procedural Dermatology, and the corresponding taxonomy classification code for this specialized field is 207Ns0135X.

On what date did the Centers for Medicare & Medicaid Services assign the 1780880476 to Christopher David Ewanowski?

The Centers for Medicare & Medicaid Services assigned the 1780880476 to Christopher David Ewanowski on 2007-06-21.

As of what date were the details pertaining to Christopher David Ewanowski last refreshed?

The information related to the Christopher David Ewanowski, including its address, specialty, and other relevant details, was last updated on 2019-01-15.

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