Provider Demographics
NPI:1447376819
Name:ZADECKY, LEONARD B (MD)
Entity type:Individual
Prefix:
First Name:LEONARD
Middle Name:B
Last Name:ZADECKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 PINECREST CT
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-3704
Mailing Address - Country:US
Mailing Address - Phone:724-482-2928
Mailing Address - Fax:
Practice Address - Street 1:108 PINECREST CT
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-3704
Practice Address - Country:US
Practice Address - Phone:724-482-2928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD011884E207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine