Organization
GREATER HAZLETON RADIOLOGY ASSOCIATES, LLC
Active
Other names
Hazleton General Hospital - Professional Services
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE CARR (PRESIDENT)
(215) 663-5910
Entity
Organization
Contact information
Practice address
700 E BROAD ST, HAZLETON, PA 18201-6835
(570) 501-4000
Mailing address
PO BOX 827275, PHILADELPHIA, PA 19182-7275
(215) 663-5910
(215) 663-2451
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/26/2006
Last updated
02/10/2009
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