Organization
PENNSYLVANIA PET ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD J GRACE (DIRECTOR OF INSTITUTIONAL RELATIONS)
(610) 993-1640
Entity
Organization
Contact information
Practice address
800 SPRUCE ST, SECOND FLOOR, WIDENER BUILDING, PHILADELPHIA, PA 19107-6130
(215) 829-6554
(215) 829-6552
Mailing address
43 LEOPARD RD, SUITE 200, PAOLI, PA 19301-1552
(610) 993-1640
(610) 993-1651
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2006
Last updated
06/18/2008
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