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Individual
DR. PETER J BADDICK III
Active
Individual
DR. PETER J BADDICK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS-008960-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015989840002
—
PA
01
—
010063548
RAILROAD MEDICARE ID
PA
01
—
5647041
AETNA ID NON HMO
PA
01
—
885601
HIGHMARK ID
PA
Enumeration date
04/21/2006
Last updated
03/22/2011
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