Provider Demographics
NPI:1801095732
Name:DENNIS E. ULEWICZ,MD,PC
Entity type:Organization
Organization Name:DENNIS E. ULEWICZ,MD,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:ULEWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-983-5905
Mailing Address - Street 1:5260 GOLDEN RUN LN
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-3952
Mailing Address - Country:US
Mailing Address - Phone:724-983-5905
Mailing Address - Fax:724-981-6206
Practice Address - Street 1:5260 GOLDEN RUN LN
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-3952
Practice Address - Country:US
Practice Address - Phone:724-983-5905
Practice Address - Fax:724-981-6206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD065438-L2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty