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Individual

DR. JEFFREY RADECKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1770 BATHGATE RD, SUITE 405, BETHLEHEM, PA 18017-7334
(610) 402-3560
(484) 884-8396
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD448521
PA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
241308
NY

Other

Enumeration date
06/09/2008
Last updated
04/28/2016
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