Provider Demographics
NPI:1518968064
Name:SENDZIK, NESTOR I (MD)
Entity Type:Individual
Prefix:MR
First Name:NESTOR
Middle Name:I
Last Name:SENDZIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:708 N SHADY RETREAT RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2503
Mailing Address - Country:US
Mailing Address - Phone:215-340-2229
Mailing Address - Fax:215-340-1753
Practice Address - Street 1:708 N SHADY RETREAT RD
Practice Address - Street 2:SUITE 7
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2503
Practice Address - Country:US
Practice Address - Phone:215-340-2229
Practice Address - Fax:215-340-1753
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD020457E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA007949450003Medicaid
PA007949450003Medicaid
087591N63Medicare ID - Type Unspecified