Individual
THEODORE M. MAGIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7600 CENTRAL AVE, RADIOLOGY DEPARTMENT, PHILADELPHIA, PA 19111-2442
(215) 728-2162
(215) 728-4883
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-2433
(215) 707-3677
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
MD028712E
PA
2085N0700X
Neuroradiology Physician
MD028712E
PA
2085N0904X
Nuclear Radiology Physician
MD028712E
PA
2085R0202X
Diagnostic Radiology Physician
MD028712E
PA
2085R0204X
Vascular & Interventional Radiology Physician
MD028712E
PA
2085U0001X
Diagnostic Ultrasound Physician
MD028712E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000912646
—
PA
Enumeration date
06/02/2006
Last updated
04/23/2013
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