Provider Demographics
NPI:1518226760
Name:KADYSH, MARY ALEX (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:ALEX
Last Name:KADYSH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:102 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:SCHWENKSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19473-1753
Mailing Address - Country:US
Mailing Address - Phone:610-287-8129
Mailing Address - Fax:610-287-0359
Practice Address - Street 1:102 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:SCHWENKSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19473-1753
Practice Address - Country:US
Practice Address - Phone:610-287-8129
Practice Address - Fax:610-287-0359
Is Sole Proprietor?:No
Enumeration Date:2012-05-09
Last Update Date:2024-01-09
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Provider Licenses
StateLicense IDTaxonomies
PAMD453575207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine