# VASCULAR DIAGNOSTIC CENTER PC

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

## Provider details

- **NPI number:** 1255308441
- **Authorized official:** TERENCE A COCHRAN MD (PRESIDENT)
- **Authorized official phone:** (570) 343-1900

## Contact information

- **Practice address:** 700 QUINCY AVE, SCRANTON, PA 18510-1724
- **Practice address phone:** (570) 340-2256
- **Mailing address:** 100 MYLES STANDISH BLVD, TAUNTON, MA 02780-7321
- **Mailing address phone:** (508) 880-3700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 03/07/2006
- **Last updated:** 08/12/2008