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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