Organization
HR PHYSICIAN SERVICES
Active
Other names
Redeemer Northeast Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL R WAGNER (TREASURER)
(215) 856-1114
Entity
Organization
Contact information
Practice address
7390 BUSTLETON AVE, PHILADELPHIA, PA 19152-4311
(215) 938-4691
Mailing address
12265 TOWNSEND RD, PHILADELPHIA, PA 19154-1201
(215) 856-1114
(215) 856-1140
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
10/11/2019
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