Individual
THOMAS EDWARD RADECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
238 MAIN ST, CLARION, PA 16214-1043
(814) 226-4909
(814) 227-2176
Mailing address
238 MAIN ST, CLARION, PA 16214-1043
(814) 226-4909
(814) 227-2176
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD015591E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014336910001
—
PA
Enumeration date
07/12/2006
Last updated
11/10/2011
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