Organization
MRI PHYSICIAN ASSOCIATES, PC
Active
Organization
MRI PHYSICIAN ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME LOUIS CHECKOFF M.D. (MEDICAL DIRECTOR)
(215) 464-8050
Entity
Organization
Contact information
Practice address
2451 GRANT AVE, PHILADELPHIA, PA 19114-1031
(215) 464-8050
(215) 673-5767
Mailing address
2451 GRANT AVE, PHILADELPHIA, PA 19114-1031
(215) 464-8050
(215) 673-5767
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0345430000
INDEPENDENCE BLUE CROSS
PA
01
—
035757
HIGHMARK BLUE SHIELD
PA
01
—
5123334
AETNA PPO
PA
01
—
CN1450
RAILROAD MEDICARE
—
Enumeration date
12/06/2006
Last updated
02/21/2011
Update your record
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