Organization
M RADIOLOGICAL ASSOCIATES, PC
Active
Organization
M RADIOLOGICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES GALAT (ACCOUNTANT)
(570) 586-2091
Entity
Organization
Contact information
Practice address
1229 MONROE AVE, DUNMORE, PA 18509-2807
(570) 346-5115
Mailing address
PO BOX 517, CARBONDALE, PA 18407-0517
(570) 281-1315
(570) 281-1256
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
407041
HIGHMARK BLUE SHIELD
PA
Enumeration date
01/12/2007
Last updated
08/22/2020
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