| Doctor Name: | MAREK A RADOMSKI |
| NPI Number: | 1154563047 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 252373-1 |
| Business Practice Address: | 3600 Forbes At Meyran Avenue Forbes Tower, Suite 10028 Pittsburgh, PA - 15213 |
| Business Phone Number: | 4128641649 |
| Business Fax Number: | |
| Mailing Address: | 3600 Forbes At Meyran Avenue, Forbes Tower, Suite 10028 PITTSBURGH |
| State: | PA |
| Postal Code: | 15213 |
| Phone Number: | 4128641649 |
| Fax Number: | |
| NPI Enumeration Date: | 03/24/2009 |
| NPI Last Update Date: | 08/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 252373-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |