Organization
BYBERRY MRI & DIAGNOSTIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE HENNIGAR (OFFICE MANAGER)
(215) 947-7992
Entity
Organization
Contact information
Practice address
3501 MASONS MILL RD, SUITE 502, HUNTINGDON VALLEY, PA 19006-3517
(215) 659-4755
(215) 659-4764
Mailing address
3501 MASONS MILL RD, SUITE 502, HUNTINGDON VALLEY, PA 19006-3517
(215) 659-4755
(215) 659-4764
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2221941000
IBC
PA
Enumeration date
05/27/2006
Last updated
05/19/2014
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