Organization
QUANTUM IMAGING & THERAPEUTIC ASSOCIATES INC
Active
Organization
QUANTUM IMAGING & THERAPEUTIC ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ANN BERGEY MD (PRESIDENT)
(717) 932-5200
Entity
Organization
Contact information
Practice address
629D LOWTHER RD, LEWISBERRY, PA 17339-9527
(717) 938-2765
(717) 932-3095
Mailing address
629D LOWTHER RD, LEWISBERRY, PA 17339-9527
(717) 938-2765
(717) 932-3095
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085R0205X
Radiological Physics Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001617239
—
PA
Enumeration date
10/03/2005
Last updated
05/06/2011
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