NPI 1053457721 DR. THADDEUS WILSON HERLICZEK MD EAST PROVIDENCE RI. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Thaddeus Wilson Herliczek - NPI: 1053457721

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. THADDEUS WILSON HERLICZEK
NPI Number: 1053457721
Entity Type Code: Individual (1)
Gender: M
Credentials: MD
License Number: 214342
Business Practice Address: 20 Catamore Blvd
East Providence, RI - 029141204
Business Phone Number: 4014277828
Business Fax Number: 4014322457
Mailing Address: 20 Catamore Blvd,
EAST PROVIDENCE
State: RI
Postal Code: 029141204
Phone Number: 4014277828
Fax Number: 4014322457
NPI Enumeration Date: 01/30/2007
NPI Last Update Date: 08/05/2010
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 2085R0202X
License Number: 214342
Healthcare Provider Taxonomy:
(Secondary)
N
State: MA
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Radiology
Taxonomy Specialization: Diagnostic Radiology
Taxonomy Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


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