Organization
ESB RADIOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD J WALKOWSKI MD (PRESIDENT)
(570) 383-5671
Entity
Organization
Contact information
Practice address
1400 MAIN ST, PECKVILLE, PA 18452-2009
(570) 383-5671
Mailing address
PO BOX 118, LANDISVILLE, PA 17538-0118
(800) 347-4219
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011085820003
—
PA
Enumeration date
05/11/2006
Last updated
09/05/2013
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