| Joseph Radzwilka Do Llc | |
|
308 Donnas Way Exeter PA 18643-1243 | |
| (570) 760-6531 | |
| (570) 299-2272 |
| Full Name | Joseph Radzwilka Do Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 308 Donnas Way, Exeter, Pennsylvania |
| Authorized Official Name and Position | Joseph Radzwilka (PHYSICIAN) |
| Authorized Official Contact | 5707606531 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Radzwilka Do Llc 308 Donnas Way Exeter PA 18643-1243 Ph: (570) 760-6531 | Joseph Radzwilka Do Llc 308 Donnas Way Exeter PA 18643-1243 Ph: (570) 760-6531 |
| NPI Number | 1619758984 |
|---|---|
| Provider Enumeration Date | 10/11/2023 |
| Last Update Date | 10/11/2023 |
| Medicare PECOS PAC ID | 6709234511 |
|---|---|
| Medicare Enrollment ID | O20231204002360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619758984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Joseph Radzwilka |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1871520957 PECOS PAC ID: 3779655097 Enrollment ID: I20091222000258 |
Luzerne County General Practice Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 Wyoming Ave, Exeter, PA 18643 Phone: 570-655-2959 Fax: 570-655-9213 |