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Individual
MATTHEW CHET RADACK
Active
Individual
MATTHEW CHET RADACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9701118
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-28748
UNITED HEALTHCARE
NC
01
—
1072P
BCBS
NC
05
—
891072P
—
NC
01
—
930077046
RAILROAD MEDICARE
NC
01
—
930084659
RAILROAD MEDICARE
NC
01
—
B4555
MEDCOST
—
05
—
Q01118
—
SC
Enumeration date
06/14/2005
Last updated
03/17/2020
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