Noel E Radwanski, DVM

Primary specialty

VeterinarianTaxonomy code 174M00000X

License

29VI00624200 Issued in NJ

Practice address

625 W Ridge Pike Ste 102
Conshohocken, PA 19428-1180

Phone

(845) 677-9994

Fax

(484) 567-7998

NPI assigned

Feb 14, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1124367941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W RIDGE PIKE BLDG B",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281191",
            "telephone_number": "484-567-7999",
            "fax_number": "845-677-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W RIDGE PIKE STE 102",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281180",
            "telephone_number": "845-677-9994",
            "fax_number": "484-567-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADWANSKI",
        "first_name": "NOEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-14",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "NJ",
            "license": "29VI00624200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Veterinarian in Conshohocken, PA
• Providers in Conshohocken, PA by specialty
• Veterinarian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.