Herliczek, Thaddeus Wilson

Herliczek, Thaddeus Wilson is an individual health care provider with primary practice located at 111 Michigan Avenue Nw Dept. Of Radiology, Washington DC 20010-2916. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is his primary health care specialty. Herliczek, Thaddeus Wilson can be contacted via phone (202) 476-5000.

Contact Information

Primary practice address
111 Michigan Avenue Nw Dept. Of Radiology Washington DC 20010-2916
Phone: (202) 476-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X MD500003109 District of Columbia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 12603 Rhode Island
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 214342 Massachusetts

Profile Details

NPI number 1053457721
LBN Legal business name Herliczek, Thaddeus Wilson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated May 17th, 2024 - about 6 months 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.

Request for update

Popular Providers