Jaditz, Stephen Gerard

Jaditz, Stephen Gerard is an individual health care provider with primary practice located at 105 Layton Rd , South Abington Township PA 18411-9376. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Jaditz, Stephen Gerard can be contacted via phone (570) 586-8186.

Contact Information

Primary practice address
105 Layton Rd South Abington Township PA 18411-9376
Fax: (570) 587-0758
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X OS006343L Pennsylvania

Profile Details

NPI number 1831146380
LBN Legal business name Jaditz, Stephen Gerard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jan 23rd, 2023 - about 3 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 1831146380 NPPES
Pennsylvania MEDICAID 0011317130004

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