Gerald A Niedzwiecki in Clearwater - Diagnostic Radiology

Gerald A Niedzwiecki - NPI 1578632147

Gerald A Niedzwiecki is a Diagnostic Radiology in Clearwater, Florida. Gerald A Niedzwiecki practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Gerald A Niedzwiecki is 1578632147. The last update date is 2017-05-09.

Gerald A Niedzwiecki's current location address is 2730 N Mcmullen Booth Rd, Clearwater, Florida. You can contact this provider via phone number 7277917300 and fax number 7277239010. The mailing address for Gerald A Niedzwiecki is 2730 N Mcmullen Booth Rd, Clearwater, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Gerald A Niedzwiecki
Address 2730 N Mcmullen Booth Rd, Clearwater, Florida
Phone Number 7277917300
Fax Number 7277239010
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1578632147
Provider Enumeration Date 2006-11-07
Last Updated Date 2017-05-09

Provider Mailing Address Detail

Address 2730 N Mcmullen Booth Rd
City Clearwater
State Florida (FL)
Post Code 337613302
Phone Number 7277917300
Fax Number 7277239010

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No ME0070649
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
250195300 FL --
4595565 FL AETNA PPO
1600774 FL UNITED HEALTHCARE
2648373 FL AETNA HMO
31439 FL BLUE CROSS BLUE SHIELD

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FAQs about Gerald A Niedzwiecki

What is the Gerald A Niedzwiecki's 1578632147?

The Gerald A Niedzwiecki's NPI (National Provider Identifier) Number is 1578632147. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Gerald A Niedzwiecki is geographically located?

The Gerald A Niedzwiecki is physically situated at the following location: 2730 N Mcmullen Booth Rd, Clearwater, FL, 337613302.

What is Gerald A Niedzwiecki's area of expertise and its corresponding taxonomy classification?

The Gerald A Niedzwiecki's field of specialization is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their areas of practice.

On what date did the Gerald A Niedzwiecki receive the assignment of its 1578632147 from the Centers for Medicare & Medicaid Services?

The Gerald A Niedzwiecki was issued its 1578632147 by the Centers for Medicare & Medicaid Services on 2006-11-07.

As of what date were the details related to Gerald A Niedzwiecki most recently updated or revised?

The information pertaining to Gerald A Niedzwiecki, including its address, specialty, and other relevant details, was last updated or revised on 2017-05-09.

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