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Individual
MR. THADDEUS EDWARD DRYGAS
Active
Individual
MR. THADDEUS EDWARD DRYGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
222Z00000X
Orthotist
45PO00013300
NJ
224P00000X
Prosthetist
45PO00013300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01703433
—
NY
Enumeration date
02/23/2006
Last updated
11/18/2009
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