Organization
MONROE RADIOLOGY IMAGING P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN S HAWK (BUSINESS MGR)
(570) 421-8248
Entity
Organization
Contact information
Practice address
206 E BROWN ST, EAST STROUDSBURG, PA 18301-3006
(570) 421-4000
(570) 476-6213
Mailing address
RR 2 BOX 2091C, E STROUDSBURG, PA 18301-9629
(570) 421-8196
(570) 476-6213
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012536450003
—
PA
Enumeration date
11/02/2006
Last updated
07/09/2010
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