Organization
RADIOLOGY & MRI OF BETHLEHEM, INC.
Active
Organization
RADIOLOGY & MRI OF BETHLEHEM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL L MACIEJCZYK (OFFICE MANAGER)
(610) 691-8931
Entity
Organization
Contact information
Practice address
5325 NORTHGATE DR, SUITE 100, BETHLEHEM, PA 18017-9411
(610) 691-8931
(610) 691-8947
Mailing address
5325 NORTHGATE DR, SUITE 100, BETHLEHEM, PA 18017-9411
(610) 691-8931
(610) 691-8947
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0054332
AETNA
PA
05
—
01128342
—
PA
01
—
02286700
CAPITAL BLUE CROSS
PA
01
—
405224
HIGHMARK BLUE SHIELD
PA
01
—
CC5242
PALMETTO GBA-RAILROAD
PA
Enumeration date
09/27/2006
Last updated
02/16/2010
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