Thaddeus Wilson Herliczek in Warwick - Diagnostic Radiology

Thaddeus Wilson Herliczek - NPI 1053457721

Thaddeus Wilson Herliczek is a Diagnostic Radiology in Warwick, Rhode Island. Thaddeus Wilson Herliczek practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Thaddeus Wilson Herliczek is 1053457721. The last update date is 2019-03-21.

Thaddeus Wilson Herliczek's current location address is 125 Metro Center Blvd Ste 2000, Warwick, Rhode Island. You can contact this provider via phone number 4014322520 and fax number 4014538220. The mailing address for Thaddeus Wilson Herliczek is 125 Metro Center Blvd Ste 2000, Warwick, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Thaddeus Wilson Herliczek
Address 125 Metro Center Blvd Ste 2000, Warwick, Rhode Island
Phone Number 4014322520
Fax Number 4014538220
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1053457721
Provider Enumeration Date 2007-01-30
Last Updated Date 2019-03-21

Provider Mailing Address Detail

Address 125 Metro Center Blvd Ste 2000
City Warwick
State Rhode Island (RI)
Post Code 28861785
Phone Number 4014322520
Fax Number 4014538220

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 12603
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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FAQs about Thaddeus Wilson Herliczek

What is the unique 10-digit identifier code issued to Thaddeus Wilson Herliczek by the Centers for Medicare & Medicaid Services?

The Thaddeus Wilson Herliczek has been assigned the NPI (National Provider Identifier) 1053457721 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Thaddeus Wilson Herliczek's facilities are geographically located?

The facilities of Thaddeus Wilson Herliczek are physically situated at the following location: 125 Metro Center Blvd Ste 2000, Warwick, RI, 28861785.

What is the area of specialization for Thaddeus Wilson Herliczek, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Thaddeus Wilson Herliczek is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0202X.

On what date did the Thaddeus Wilson Herliczek receive its 1053457721 assignment from the Centers for Medicare & Medicaid Services?

The Thaddeus Wilson Herliczek was assigned its 1053457721 by the Centers for Medicare & Medicaid Services on 2007-01-30.

As of what date were the details related to Thaddeus Wilson Herliczek most recently updated or revised?

The information pertaining to Thaddeus Wilson Herliczek, including its address, specialty, and other relevant details, was last updated or revised on 2019-03-21.

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