Fedele, Charles Robert
Fedele, Charles Robert is an individual health care provider with primary practice located at 250 King Of Prussia Rd , Radnor PA 19087. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Fedele, Charles Robert can be contacted via phone (610) 902-1800.Contact Information
Primary practice address
250 King Of Prussia Rd
Radnor PA 19087
Phone: (610) 902-1800
Fax: (610) 902-1804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | C2-0010648 | Delaware |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | OS015710 | Pennsylvania |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | C7-0005091 | Delaware |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | OT013503 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | OS015710 | Pennsylvania |
Profile Details
| NPI number | 1164740056 |
|---|---|
| LBN Legal business name | Fedele, Charles Robert |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2010 |
| Last updated | May 6th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164740056 | NPPES |
| Pennsylvania | MEDICAID | 1026726210001 |
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