Organization
AMAR N. GULATI, PC - RAYTEL MEDICAL IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY M FLANEGIN (PRESIDENT)
(610) 831-1112
Entity
Organization
Contact information
Practice address
3820 POWELTON AVE, PHILADELPHIA, PA 19104-5104
(800) 367-1095
(860) 298-6127
Mailing address
PO BOX 548, WINDSOR, CT 06095-0548
(800) 367-1095
(860) 298-6127
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011374950002
—
PA
Enumeration date
11/09/2006
Last updated
08/30/2007
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