Basic Information
Provider Information
NPI: 1790880003
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SZOLLAS
FirstName: LASZLO
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 600 PLAZA CT C
Address2:  
City: EAST STROUDSBURG
State: PA
PostalCode: 18301
CountryCode: US
TelephoneNumber: 5704217020
FaxNumber: 5704217091
Practice Location
Address1: 600 PLAZA CT C
Address2:  
City: EAST STROUDSBURG
State: PA
PostalCode: 18301
CountryCode: US
TelephoneNumber: 5704217020
FaxNumber: 5704217091
Other Information
ProviderEnumerationDate: 09/13/2006
LastUpdateDate: 12/22/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
174400000XME88789FLN Other Service ProvidersSpecialist 
207LP2900XME88789FLN Allopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
208VP0014XMD436232PAY Allopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine

No ID Information.


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