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Individual

DR. STEPHEN P. GADOMSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1020 N KINGS HWY, SUITE 201, CHERRY HILL, NJ 08034-1906
(856) 667-1575
(856) 210-2849
Mailing address
PO BOX 95000-5585, PHILADELPHIA, PA 19195-5585
(856) 667-1575
(856) 210-2849

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25MA04781800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0072857000
AMERIHEALTH
NJ
01
134233377
HORIZON
NJ
05
1701002
NJ
01
3321541
AETNA
NJ
Enumeration date
06/21/2005
Last updated
05/17/2022
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