Provider Demographics
NPI:1740396787
Name:SADOWSKY SURGICAL ASSOCIATES
Entity Type:Organization
Organization Name:SADOWSKY SURGICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VICENTE
Authorized Official - Middle Name:REYES
Authorized Official - Last Name:CARAG
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:410-939-0700
Mailing Address - Street 1:504 LEWIS ST
Mailing Address - Street 2:
Mailing Address - City:HAVRE DE GRACE
Mailing Address - State:MD
Mailing Address - Zip Code:21078-3420
Mailing Address - Country:US
Mailing Address - Phone:410-939-0700
Mailing Address - Fax:410-939-0703
Practice Address - Street 1:504 LEWIS ST
Practice Address - Street 2:
Practice Address - City:HAVRE DE GRACE
Practice Address - State:MD
Practice Address - Zip Code:21078-3420
Practice Address - Country:US
Practice Address - Phone:410-939-0700
Practice Address - Fax:410-939-0703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty