Organization
RADIOLOGY ASSOCIATES OF THE MAIN LINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA SIMPSON MD (AUTHORIZED REPRESENTATIVE)
(610) 648-1000
Entity
Organization
Contact information
Practice address
255 W LANCASTER AVE, PAOLI, PA 19301-1763
(610) 648-1000
Mailing address
PO BOX 225, PAOLI, PA 19301-0225
(610) 648-1000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016175060029
—
PA
Enumeration date
05/12/2006
Last updated
11/24/2015
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