Provider Demographics
NPI:1154060630
Name:RADEL, ADRIAN (PA-C)
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:
Last Name:RADEL
Suffix:
Gender:M
Credentials:PA-C
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:360 US HIGHWAY 1 BYP UNIT 102
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7105
Mailing Address - Country:US
Mailing Address - Phone:603-410-6700
Mailing Address - Fax:603-319-8308
Practice Address - Street 1:296 OLD OAK ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE
Practice Address - State:MA
Practice Address - Zip Code:02359-1981
Practice Address - Country:US
Practice Address - Phone:339-244-3033
Practice Address - Fax:339-244-3005
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-02
Last Update Date:2023-11-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MAPA8837363A00000X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant