Gradzka, Agnieszka

Gradzka, Agnieszka is an individual health care provider with primary practice located at 1824 Good Hope Road Suite 201, Enola PA 17025-1233. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gradzka, Agnieszka can be contacted via phone (717) 791-2680.

Contact Information

Primary practice address
1824 Good Hope Road Suite 201 Enola PA 17025-1233
Phone: (717) 791-2680
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD419823 Pennsylvania

Profile Details

NPI number 1689666554
LBN Legal business name Gradzka, Agnieszka
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Mar 16th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689666554 NPPES
Pennsylvania MEDICAID 1008247330002
Pennsylvania Other GR1564583
Pennsylvania Other 50023585

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