Individual
MR. EDWARD STEPHEN RADIVONYK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
637 MAIN STREET, FITCHBURG, MA 01420-3107
(978) 342-2222
(978) 342-1292
Mailing address
637 MAIN STREET, FITCHBURG, MA 01420-3107
(978) 342-2222
(978) 342-1292
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN16221
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0269441
—
MA
Enumeration date
12/29/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us