Organization
QUANTUM IMAGING & THERAPEUTIC ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH A BERGEY MD (PRESIDENT/ CEO)
(717) 932-5200
Entity
Organization
Contact information
Practice address
629D LOWTHER RD, LEWISBERRY, PA 17339-9527
(717) 932-5200
(717) 932-3095
Mailing address
629D LOWTHER RD, LEWISBERRY, PA 17339-9527
(717) 932-5200
(717) 932-3095
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016172390085
—
PA
Enumeration date
03/08/2013
Last updated
03/08/2013
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