Organization
EASTERN PENNSYLVANIA IMAGING CONSULTANTS, PC
Active
Organization
EASTERN PENNSYLVANIA IMAGING CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGG DAVID SCHUBACH M.D. (CHAIRMAN, RADIOLOGY DEPARTMENT)
(610) 250-4000
Entity
Organization
Contact information
Practice address
250 S 21ST ST, EASTON, PA 18042-3851
(610) 250-4592
(610) 923-8160
Mailing address
2430 BUTLER STREET, SUITE 114, EASTON, PA 18042-5303
(610) 250-4000
(610) 923-8160
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1018285300001
MEDICAID
PA
Enumeration date
11/08/2006
Last updated
02/27/2008
Update your record
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