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NPI 1730384512

NPI 1730384512 : PIOTR SADEJ MD : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1730384512
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    Entity Type          |    Individual 
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    Provider Name        |    PIOTR SADEJ MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/20/2007
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    Last Update Date     |    05/02/2012
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Provider Practice Location Address
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    Address Line         |    132 S 10TH ST 1087 MAIN BLDG.
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19107-5244
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    Country              |    US
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    Telephone            |    215-955-7264
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    901 N PENN ST R907
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19123-3132
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    Country              |    US
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    Telephone            |    646-522-4652
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    MD442460
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    License Number State |    PA
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