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Organization
WINTERGREEN IMAGING AND DIAGNOSTICS, PC
Active
Organization
WINTERGREEN IMAGING AND DIAGNOSTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC M LIPNACK DO (OWNER)
(610) 581-0348
Entity
Organization
Contact information
Practice address
1112 RIVERVIEW LN, WEST CONSHOHOCKEN, PA 19428-2964
(610) 581-0348
(610) 581-0349
Mailing address
1112 RIVERVIEW LN, WEST CONSHOHOCKEN, PA 19428-2964
(610) 581-0348
(610) 581-0349
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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