Individual
DR. GERALD A NIEDZWIECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2730 N MCMULLEN BOOTH RD, SUITE 100, CLEARWATER, FL 33761-3325
(727) 791-7300
(727) 723-9010
Mailing address
2730 N MCMULLEN BOOTH RD, STE 100, CLEARWATER, FL 33761-3302
(727) 791-7300
(727) 723-9010
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
ME0070649
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME0070649
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1600774
UNITED HEALTHCARE
FL
05
—
250195300
—
FL
01
—
2648373
AETNA HMO
FL
01
—
31439
BLUE CROSS BLUE SHIELD
FL
01
—
4595565
AETNA PPO
FL
Enumeration date
11/07/2006
Last updated
05/09/2017
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