| Doctor Name: | JAMES HRADECKY |
| NPI Number: | 1861816654 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 816 Elm St # 248 Manchester, NH - 031012105 |
| Business Phone Number: | 6035406564 |
| Business Fax Number: | |
| Mailing Address: | 816 Elm St # 248, MANCHESTER |
| State: | NH |
| Postal Code: | 031012105 |
| Phone Number: | 6035406564 |
| Fax Number: | |
| NPI Enumeration Date: | 02/13/2014 |
| NPI Last Update Date: | 04/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |