Organization
SPRUCE MRI ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIC CHILA (OFFICE MANAGER)
(610) 459-3113
Entity
Organization
Contact information
Practice address
801 SPRUCE ST, PHILADELPHIA, PA 19107-5701
(610) 459-3113
Mailing address
510 WALNUT ST, STE 420, PHILADELPHIA, PA 19106-3601
(610) 459-3113
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
PA
Other
Enumeration date
07/21/2005
Last updated
07/21/2022
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