Shaderowfsky, Paul

Shaderowfsky, Paul is an individual health care provider with primary practice located at 638 Fairview Rd , Clarks Summit PA 18411-8955. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Nuclear Medicine is his primary health care specialty. Shaderowfsky, Paul can be contacted via phone (570) 281-1315.

Contact Information

Primary practice address
638 Fairview Rd Clarks Summit PA 18411-8955
Phone: (570) 281-1315
Fax: (570) 281-1256
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X MD070287L Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD070287L Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X MD070287L Pennsylvania

Profile Details

NPI number 1720194699
LBN Legal business name Shaderowfsky, Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Jul 8th, 2007 - about 18 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 1720194699 NPPES
Pennsylvania MEDICAID 1806639

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