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NPI Code Detail

MEDICARE: DR. BRIAN KADERLI MD

MEDICARE: DR. BRIAN KADERLI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD469539PA

General Provider Information

NPI Number : 1477992519
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN KADERLI MD
Provider Business Mailing Address
First Line : 1201 GRAMPIAN BLVD
Second Line :
City : WILLIAMSPORT
State : PA
Zip : 17701-1900
Country : US
Telephone Number : 570-326-8723
Fax Number :
Provider Business Practice Location Address
First Line : 740 HIGH ST STE 4001
Second Line :
City : WILLIAMSPORT
State : PA
Zip : 17701-3111
Country : US
Telephone Number : 570-321-2345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2013
Last Update Date : 01/31/2022

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Directions to “ DR. BRIAN KADERLI MD” Practice Location

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