Provider Demographics
NPI:1952444168
Name:HAJDUCZEK, DARRYL WARD (DC)
Entity Type:Individual
Prefix:
First Name:DARRYL
Middle Name:WARD
Last Name:HAJDUCZEK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 KEMP RD
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19465-7639
Mailing Address - Country:US
Mailing Address - Phone:610-705-0201
Mailing Address - Fax:610-705-0180
Practice Address - Street 1:92 KEMP RD
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19465-7639
Practice Address - Country:US
Practice Address - Phone:610-705-0201
Practice Address - Fax:610-705-0180
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC008770111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor