Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THADDEUS W HERLICZEK, MD
ActiveDR. THADDEUS W HERLICZEK, MD is a Pediatric Radiology healthcare provider located in BOSTON, Massachusetts. NPI 1053457721 is currently active in the NPPES registry. Verify at CMS.
Pediatric Radiology · BOSTON, MA
Registration Details
- NPI Number
- 1053457721
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2007 (19.557269728058 yrs)
- Last Updated
- Feb 4, 2026
- Licenses
-
MD500003109 (DC)12603 (RI)MD70086097 (WA)231919 (MA)
Practice Information
- Address
-
300 LONGWOOD AVEBOSTON, MA, 021155724Browse MA providers · Browse ZIP 02115
- Phone
- 6173556000
- Primary Specialty
-
Pediatric Radiology
2085P0229X
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Pediatric Radiology
Other Pediatric Radiology Providers in BOSTON, MA
| Name | Credential | NPI |
|---|---|---|
| DR. KATHERINE NIMKIN | MD | 1639169444 |
| KEE YOUNG CHUNG | MD | 1356329148 |
| ROY MCCAULEY | — | 1801831946 |
| STEPHAN D. VOSS | M.D., PH.D. | 1164450383 |
| MICHAEL CALLAHAN | MD | 1285662668 |
| DONALD TRACY | — | 1730110099 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.