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Organization

POCONO MRI IMAGING AND DIAGNOSTIC CENTER,LLC

Active
Parent organization
POCONO MRI IMAGING AND DIAGNOSTIC CENTER, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
POCONO MRI IMAGING AND DIAGNOSTIC CENTER, LLC
Authorized official
BHAVNA CHHABRIA MD (CEO)
(570) 517-7393
Entity
Organization

Contact information

Practice address
3 PARKINSONS RD, EAST STROUDSBURG, PA 18301-8087
(570) 424-8000
(570) 517-5100
Mailing address
3 PARKINSONS RD, EAST STROUDSBURG, PA 18301-8087
(570) 424-8000
(570) 517-5100

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
208VP0000X
Pain Medicine Physician
Primary

Other

Enumeration date
09/20/2012
Last updated
09/20/2012
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