Podgorski, Edward M

Podgorski, Edward M is an individual health care provider with primary practice located at 100 Carnie Blvd Suite B-5, Voorhees NJ 08043-4512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Podgorski, Edward M can be contacted via phone (856) 751-0123.

Contact Information

Primary practice address
100 Carnie Blvd Suite B-5 Voorhees NJ 08043-4512
Phone: (856) 751-0123
Fax: (856) 751-0535
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA04929500 New Jersey

Profile Details

NPI number 1316946635
LBN Legal business name Podgorski, Edward M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated May 31st, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316946635 NPPES
Other 0733221 AETNA
Other 1090851 AETNA
Other PO193699 AETNA
MEDICAID 1339206 AETNA
Other A3738029 AETNA
Other 009151000 AETNA
Other 1244985 AETNA
Other 300047118 AETNA
Other PO193699 AETNA

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