Dr. Adam Joseph Badaczewski, DPM
Podiatrist in Winston Salem, NC. Individual provider (NPI-1).
NPI number1255726071
StatusActive
Last updated in NPPESAug 7, 2023
Details
- NPI
- 1255726071
- Entity type
- Individual (NPI-1)
- Name
- Dr. Adam Joseph Badaczewski
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2015
- Certification date
- Aug 7, 2023
- Last updated
- Aug 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | 706 | NC | Yes |
| 213E00000X | Podiatrist | SC006652 | PA | |
| 213EP1101X | Podiatrist, Primary Podiatric Medicine | 706 | NC | |
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | SC006652 | PA |
Practice location
3057 Trenwest DrWinston Salem, NC 27103-3220
Phone 336-765-0710 · Fax 336-765-0821
Mailing address
Po Box 60447Charlotte, NC 28260-0447
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