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Contact Information

CHARLES R FEDELE JR, DO
250 KING OF PRUSSIA RD
RADNOR, PA19087
 Phone: 610-902-1800
 Fax: 610-902-1804
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Student in an Organized Health Care Education/Training Program

390200000X
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for CHARLES R FEDELE JR · (Male)

NPI Number 1164740056
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/17/2010
Last updated 05/06/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • DE License # C2-0010648
  • DE License # C7-0005091
  • PA License # OS015710
  • PA License # OT013503
  • PA Medicaid 1026726210001
Hospital affiliation(s)
  • CHESTER COUNTY HOSPITAL - (Acute Care)
    701 EAST MARSHALL STREET
    WEST CHESTER, PA 19380
  • HOSPITAL OF UNIV OF PENNSYLVANIA - (Acute Care)
    34TH & SPRUCE STS
    PHILADELPHIA, PA 19104
  • PHOENIXVILLE HOSPITAL - (Acute Care)
    140 NUTT ROAD
    PHOENIXVILLE, PA 19460
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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