Provider Demographics
NPI:1467409607
Name:LADINSKY, GLENN A (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:GLENN
Middle Name:A
Last Name:LADINSKY
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:30 MEDICAL CENTER BLVD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:UPLAND
Mailing Address - State:PA
Mailing Address - Zip Code:19013-3955
Mailing Address - Country:US
Mailing Address - Phone:610-872-8501
Mailing Address - Fax:610-872-5188
Practice Address - Street 1:30 MEDICAL CENTER BLVD
Practice Address - Street 2:SUITE 303
Practice Address - City:UPLAND
Practice Address - State:PA
Practice Address - Zip Code:19013-3955
Practice Address - Country:US
Practice Address - Phone:610-872-8501
Practice Address - Fax:610-872-5188
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2015-08-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD421104207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology