Organization
NATIONAL IMAGING P.C.
Active
Organization
NATIONAL IMAGING P.C.
Active
Other names
National Medical Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURY L. ROSENBERG (PRESIDENT)
(215) 564-2800
Entity
Organization
Contact information
Practice address
1903 S BROAD ST # 05, PHILADELPHIA, PA 19148-2216
(215) 463-1825
(215) 463-1828
Mailing address
PO BOX 768, NEW YORK, NY 10018-0025
(410) 360-2233
(410) 360-2234
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0327002000
INDEPENDANCE BLUE CROSS
PA
01
—
095176
BCBS PA
PA
05
—
100731142000
—
PA
01
—
10228101
AMERIGROUP
PA
01
—
1097153
KEYSTONE
PA
Enumeration date
08/19/2006
Last updated
10/21/2010
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