Organization
MNAP DIAGNOSTIC IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLE MEDOFF (EXECUTIVE DIRECTOR)
(215) 435-1709
Entity
Organization
Contact information
Practice address
9908 ROOSEVELT BLVD, PHILADELPHIA, PA 19115-1705
(215) 464-3300
Mailing address
9908 ROOSEVELT BLVD, PHILADELPHIA, PA 19115-1705
(215) 464-3300
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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