Radomski, John S

Radomski, John S is an individual health care provider with primary practice located at 1601 Haddon Ave , Camden NJ 08103-3109. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Transplant Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Radomski, John S can be contacted via phone (856) 757-3840.

Contact Information

Primary practice address
1601 Haddon Ave Camden NJ 08103-3109
Phone: (856) 757-3840
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 25MA05016600 New Jersey
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 25MA05016600 New Jersey

Profile Details

NPI number 1801874649
LBN Legal business name Radomski, John S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Oct 19th, 2020 - about 6 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 1801874649 NPPES
New Jersey MEDICAID 5094208

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