Individual
VARTAN IGIDBASHIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
41 ROBERTS RD, NEWTOWN SQUARE, PA 19073-2011
(610) 306-0453
(610) 356-7403
Mailing address
41 ROBERTS RD, NEWTOWN SQUARE, PA 19073-2011
(610) 306-0453
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C20006395
DE
Other
Enumeration date
07/29/2005
Last updated
07/30/2012
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