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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