Organization
ANDORRA RADIOLOGY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CARR (CFO)
(215) 663-8480
Entity
Organization
Contact information
Practice address
8305 RIDGE AVE, PHILADELPHIA, PA 19128-2113
(215) 482-4800
(215) 482-4772
Mailing address
101 GREENWOOD AVE, SUITE 150, JENKINTOWN, PA 19046-2627
(215) 663-8480
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017902070005
—
PA
Enumeration date
07/21/2005
Last updated
07/21/2022
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