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Individual

PAUL SHADEROWFSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
638 FAIRVIEW RD, CLARKS SUMMIT, PA 18411-8955
(570) 281-1315
(570) 281-1256
Mailing address
PO BOX 517, CARBONDALE, PA 18407-0517
(570) 281-1287
(570) 281-1256

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
MD070287L
PA
2085R0202X
Diagnostic Radiology Physician
MD070287L
PA
2085U0001X
Diagnostic Ultrasound Physician
Primary
MD070287L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1806639
PA
Enumeration date
08/22/2006
Last updated
09/11/2025
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