Organization
VASCULAR DIAGNOSTIC CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERENCE A COCHRAN M.D. (PRESIDENT)
(570) 288-8881
Entity
Organization
Contact information
Practice address
1591 MEDICAL DR, POTTSTOWN, PA 19464-3224
(610) 326-8005
Mailing address
100 MYLES STANDISH BLVD, TAUNTON, MA 02780-7321
(508) 880-3700
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
04/27/2008
Last updated
04/28/2008
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