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Organization

QUANTUM PET LP

Active
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Organization

QUANTUM PET LP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH A BERGEY MD (MANAGING EMPLOYER)
(717) 938-2765
Entity
Organization

Contact information

Practice address
629D LOWTHER RD, LEWISBERRY, PA 17339-9527
(877) 554-2738
(717) 932-2430
Mailing address
629D LOWTHER RD, LEWISBERRY, PA 17339-9527
(877) 554-2738
(717) 932-2430

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
NONE
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001961930
PA
Enumeration date
09/26/2005
Last updated
04/05/2011
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