Organization
PENNSVILLE RADIOLOGY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VALENTIN L FAGEL M.D. (OWNER RADIOLOGIST)
(856) 678-8118
Entity
Organization
Contact information
Practice address
248 S BROADWAY, PENNSVILLE, NJ 08070-2724
(856) 678-8118
(856) 678-8130
Mailing address
248 S BROADWAY, PENNSVILLE, NJ 08070-2724
(856) 678-8118
(856) 678-8130
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3184501
—
NJ
Enumeration date
01/18/2007
Last updated
10/21/2010
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