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Individual

RICHARD G FEDUSKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(610) 954-5810
(610) 954-5480
Mailing address
PO BOX 500, SOUDERTON, PA 18964-0500
(610) 954-5810
(610) 954-5480

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD027323E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009569720012
PA
05
0064600000
WV
05
0624944
OH
01
MD027323E
LICENSE
PA
Enumeration date
05/22/2006
Last updated
01/09/2026
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