| Doctor Name: | JOSEPH RADZWILKA |
| NPI Number: | 1871520957 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | OS006174L |
| Business Practice Address: | 901 Wyoming Ave West Pittston, PA - 186432742 |
| Business Phone Number: | 5706554505 |
| Business Fax Number: | 5706543321 |
| Mailing Address: | 610 Wyoming Ave, KINGSTON |
| State: | PA |
| Postal Code: | 187043702 |
| Phone Number: | 5702885441 |
| Fax Number: | 5702885842 |
| NPI Enumeration Date: | 06/26/2006 |
| NPI Last Update Date: | 09/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OS006174L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |