Organization
NINES RADIOLOGY PA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER KAGEN (PRESIDENT/CEO)
(646) 942-8343
Entity
Organization
Contact information
Practice address
2595 INTERSTATE DR STE 103, HARRISBURG, PA 17110-9378
(509) 998-0391
Mailing address
2595 INTERSTATE DR STE 103, HARRISBURG, PA 17110-9378
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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