Organization
CENTRAL PENNSYLVANIA IMAGING, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L BALESTRERO MD (PRES.)
(814) 224-2141
Entity
Organization
Contact information
Practice address
105 NASON DR, ROARING SPRING, PA 16673-1202
(814) 224-2141
Mailing address
105 NASON DR, ROARING SPRING, PA 16673-1202
(814) 224-2141
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019431910002
—
PA
Enumeration date
05/12/2006
Last updated
08/22/2020
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