Provider Demographics
NPI:1043190499
Name:JOHN KADZIELSKI MD PLLC
Entity type:Organization
Organization Name:JOHN KADZIELSKI MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD, OWNER, AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:KADZIELSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-549-5219
Mailing Address - Street 1:PO BOX 3160
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-0803
Mailing Address - Country:US
Mailing Address - Phone:978-474-8885
Mailing Address - Fax:978-474-8845
Practice Address - Street 1:43 GEORGE WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-1001
Practice Address - Country:US
Practice Address - Phone:617-773-6300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Multi-Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty