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Individual

GREGORY T TADDUNI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 BARTOL AVE, SUITE 100, RIDLEY PARK, PA 19078-2214
(610) 521-8970
(610) 521-3983
Mailing address
1 BARTOL AVE, SUITE 100, RIDLEY PARK, PA 19078-2214
(610) 521-8970
(610) 521-3983

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD030939E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011442200003
PA
Enumeration date
06/07/2006
Last updated
04/25/2012
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