NPI 1861758534 · live from the CMS NPI Registry
Stanley James Pietrak, M.D.
Internal Medicine, Gastroenterology in Washington, DC. National Provider Identifier 1861758534, active.
NPI record
| NPI | 1861758534 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 3800 Reservoir Rd Nw, Washington, DC 20007 |
| Practice phone | 202-444-8541 |
| Mailing address | 61 Roycroft Blvd, Amherst, NY 14226 |
| Enumerated | April 7, 2012 |
| Last updated | August 30, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | MD046391 (DC) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.