Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD030939E | PA |
NPI | 1063452035 |
---|---|
Provider Name | Gregory T Tadduni |
First Address | Ridley Park, PA 19078-2214 |
Second Address | Ridley Park, PA 19078-2214 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 25/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0011442200003 | (05) | PA |
E64271 | (02) | PA |