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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