Individual
STEPHEN GERARD JADITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
105 LAYTON RD, SOUTH ABINGTON TOWNSHIP, PA 18411-9376
(570) 586-8186
(570) 587-0758
Mailing address
P O BOX 478, S ABINGTON TWP, PA 18411-9376
(570) 586-8186
(570) 341-5043
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
OS006343L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011317130004
—
PA
Enumeration date
05/30/2006
Last updated
01/23/2023
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