Organization
GERMANTOWN MRI ASSOCIATES PC
Active
Other names
Germantown MRI & PET Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L BLOOM MD (PRESIDENT)
(973) 707-1100
Entity
Organization
Contact information
Practice address
5 PENN BLVD, PHILADELPHIA, PA 19144-1476
(888) 440-6494
(330) 759-1501
Mailing address
1455 BROAD ST, 4TH FLOOR, BLOOMFIELD, NJ 07003-3003
(973) 707-1100
(973) 707-1127
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012623860001
—
PA
Enumeration date
08/29/2005
Last updated
08/22/2020
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