Organization
EASTWICK RADIOLOGY ASSOCS.
Active
Parent organization
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA
Other names
Mercy Fitzgerald Hospital Outpatient
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA
Authorized official
MR. JOSEPH H. BRADLEY (CFO)
(610) 567-6771
Entity
Organization
Contact information
Practice address
501 SOUTH 54TH STREET, MERCY FITZGERALD OUTPATIENT CENTER, DARBY, PA 19023
(610) 237-2525
Mailing address
501 SOUTH 54TH ST., DARBY, PA 19023-1330
(610) 237-2525
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39S156
MEDICARE ID TYPE UNSPECIFIED
PA
Enumeration date
09/06/2006
Last updated
11/05/2009
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