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Organization

QUAKERBRIDGE RADIOLOGY ASSOCIATES PA

Active
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Organization

QUAKERBRIDGE RADIOLOGY ASSOCIATES PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BARTLEY A LARSEN M.D. (PRESIDENT/MANAGING PARTNER)
(609) 890-0033
Entity
Organization

Contact information

Practice address
8 QUAKERBRIDGE PLZ, MERCERVILLE, NJ 08619-1255
(609) 890-0033
(609) 890-0440
Mailing address
3535 QUAKERBRIDGE RD, SUITE 300, MERCERVILLE, NJ 08619-1200
(609) 890-0033
(609) 689-6067

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
22769
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2727102
NJ
Enumeration date
07/14/2005
Last updated
09/07/2007
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