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Organization
POCONO MRI IMAGING AND DIAGNOSTIC CENTER,LLC
Active
Organization
POCONO MRI IMAGING AND DIAGNOSTIC CENTER,LLC
Active
Parent organization
POCONO MRI IMAGING AND DIAGNOSTIC CENTER, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
POCONO MRI IMAGING AND DIAGNOSTIC CENTER, LLC
Authorized official
BHAVNA CHHABRIA MD (CEO)
(570) 517-7393
Entity
Organization
Contact information
Practice address
3 PARKINSONS RD, EAST STROUDSBURG, PA 18301-8087
(570) 424-8000
(570) 517-5100
Mailing address
3 PARKINSONS RD, EAST STROUDSBURG, PA 18301-8087
(570) 424-8000
(570) 517-5100
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
NULL
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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