Individual
ANDREW A BADULAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
700 S HENDERSON RD, STE 308C, KING OF PRUSSIA, PA 19406
(610) 337-3111
(610) 337-3506
Mailing address
700 S HENDERSON RD, STE 308C, KING OF PRUSSIA, PA 19406
(610) 337-3111
(610) 337-3506
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05006960E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
588258
BCBS
PA
Enumeration date
09/07/2006
Last updated
04/06/2021
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