# WINTERGREEN IMAGING AND DIAGNOSTICS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003129198
- **Authorized official:** ERIC M LIPNACK DO (OWNER)
- **Authorized official phone:** (610) 581-0348

## Contact information

- **Practice address:** 1112 RIVERVIEW LN, WEST CONSHOHOCKEN, PA 19428-2964
- **Practice address phone:** (610) 581-0348
- **Practice address fax:** (610) 581-0349
- **Mailing address:** 1112 RIVERVIEW LN, WEST CONSHOHOCKEN, PA 19428-2964
- **Mailing address phone:** (610) 581-0348
- **Mailing address fax:** (610) 581-0349

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2010
- **Last updated:** 07/19/2010