Doctor Name: | DR. CHARLES LAUDADIO |
NPI Number: | 1982095485 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | C1-0002584 |
Business Practice Address: | 116 Harvey Ln Chadds Ford, PA - 193179728 |
Business Phone Number: | 6104591714 |
Business Fax Number: | |
Mailing Address: | 116 Harvey Ln, CHADDS FORD |
State: | PA |
Postal Code: | 193179728 |
Phone Number: | 6104591714 |
Fax Number: | |
NPI Enumeration Date: | 02/05/2015 |
NPI Last Update Date: | 02/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C1-0002584 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |