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
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