Organization
JENNERSVILLE OPEN MRI AND IMAGING CENTER, LLC
Active
Organization
JENNERSVILLE OPEN MRI AND IMAGING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ROLLINS (MANAGING PARTNER)
(610) 869-8889
Entity
Organization
Contact information
Practice address
900 W BALTIMORE PIKE, SUITE 102, WEST GROVE, PA 19390
(610) 869-8889
(610) 869-7688
Mailing address
900 W BALTIMORE PIKE, WEST GROVE, PA 19390-9313
(610) 869-8889
(610) 869-7688
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
3688169
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019122220001
—
PA
Enumeration date
08/23/2006
Last updated
06/21/2018
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