Paul Shaderowfsky
Nuclear Medicine Specialist
638 Fairview Rd
Clarks Summit
, Pennsylvania 18411-8955
Paul Shaderowfsky
Nuclear Medicine Specialist
638 Fairview Rd
Clarks Summit
, Pennsylvania 18411-8955
(570) 281-1256
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Paul Shaderowfsky
- Po Box 517
- Carbondale, PA
- Zip : 18407-0517
- Fax : (570) 281-1256
- Phone : (570) 281-1287
Second Address
- Paul Shaderowfsky
- 638 Fairview Rd
- Clarks Summit, PA
- Zip : 18411-8955
- Fax : (570) 281-1256
- Phone : (570) 281-1315
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine Specialist | MD070287L | PA |
National Provider Identifier
| NPI | 1720194699 |
|---|---|
| Provider Name | Paul Shaderowfsky |
| First Address | Carbondale, PA 18407-0517 |
| Second Address | Clarks Summit, PA 18411-8955 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1806639 | (05) | PA |
| H19757 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.