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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