Organization
THE IMAGING CENTER AT GOOD SHEPHERD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES J STUPPINO (OWNER)
(610) 778-1060
Entity
Organization
Contact information
Practice address
850 S 5TH ST, ALLENTOWN, PA 18103-3308
(610) 778-1060
(610) 778-1065
Mailing address
850 S 5TH ST, ALLENTOWN, PA 18103-3308
(610) 778-1060
(610) 778-1065
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
357901
—
PA
01
—
P00380223
RAILROAD MEDICARE
PA
Enumeration date
10/04/2006
Last updated
01/30/2008
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