Organization
JOSEPH A DICRISTOFARO
Active
Other names
NuMed Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH ANTHONY DICRISTOFARO RT. , CMNT (OWNER)
(304) 487-3160
Entity
Organization
Contact information
Practice address
100 NEW HOPE RD, MEDICAL ARTS BUILDING SUITE #12, PRINCETON, WV 24740
(304) 487-3160
(304) 487-3455
Mailing address
100 NEW HOPE RD, MEDICAL ARTS BUILDING SUITE #12, PRINCETON, WV 24740
(304) 487-3160
(304) 487-3455
Taxonomy
Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080053000
—
WV
Enumeration date
10/17/2006
Last updated
07/16/2008
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