Provider Demographics
NPI:1356472823
Name:SAVERIO N LAUDADIO DO PC
Entity Type:Organization
Organization Name:SAVERIO N LAUDADIO DO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SAVERIO
Authorized Official - Middle Name:
Authorized Official - Last Name:LAUDADIO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:570-668-3347
Mailing Address - Street 1:493 LAKE DR
Mailing Address - Street 2:
Mailing Address - City:NESQUEHONING
Mailing Address - State:PA
Mailing Address - Zip Code:18240-2418
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:493 LAKE DR
Practice Address - Street 2:
Practice Address - City:NESQUEHONING
Practice Address - State:PA
Practice Address - Zip Code:18240-2418
Practice Address - Country:US
Practice Address - Phone:570-668-3347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS003035L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0006645200005Medicaid
PA0006645200005Medicaid
PA0006645200005Medicaid
PA122480Medicare PIN