Organization
VALLEY ADVANCED MRI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES J STUPPINO (CEO OWNER)
(610) 258-1200
Entity
Organization
Contact information
Practice address
2403 BUTLER ST, EASTON, PA 18042
(610) 258-1200
(610) 258-1106
Mailing address
2403 BUTLER ST, EASTON, PA 18042
(610) 258-1200
(610) 258-1106
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
3054017
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001894533
—
PA
01
—
03272900
CAPITAL BLUE CROSS
—
01
—
130512
MEDPLUS THREE RIVERS
—
01
—
1366772
INDEPENDENCE BC PPO
—
01
—
1367521
MEDIGAP BLUE SHIELD
—
01
—
1522296
GATEWAY
—
01
—
2684292
AETNA US HEALTHCARE
—
01
—
8853701
CIGNA
—
01
—
P00021587
RAILROAD MEDICARE
PA
01
—
PA178
ONE CALL MEDICAL
—
01
—
VA1366772
HIGHMARK
—
Enumeration date
05/13/2006
Last updated
05/15/2008
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