Individual
DR. ADAM JOSEPH BADACZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3057 TRENWEST DR, WINSTON SALEM, NC 27103-3220
(336) 765-0710
(336) 765-0821
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
706
NC
213E00000X
Podiatrist
SC006652
PA
213EP1101X
Primary Podiatric Medicine Podiatrist
706
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006652
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103485196
—
PA
Enumeration date
03/30/2015
Last updated
08/07/2023
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