Organization
RADIOLOGY ASSOCIATES OF WYOMING VALLEY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD RICHTERMAN IX MD (PRESIDENT)
(570) 829-8111
Entity
Organization
Contact information
Practice address
575 N RIVER ST, WILKES BARRE, PA 18764-0999
(570) 829-8111
(570) 696-3268
Mailing address
PO BOX 197, STATE COLLEGE, PA 16804-0197
(814) 235-1526
(814) 235-1566
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100919630
—
PA
Enumeration date
06/20/2005
Last updated
05/15/2008
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