Organization
INTEGRAL NUCLEAR ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD J GRACE (CREDENTIALING MANAGER)
(610) 993-1640
Entity
Organization
Contact information
Practice address
965 STREET RD, FIRST FLOOR, SOUTHAMPTON, PA 18966-4728
(610) 993-1640
(610) 993-1651
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
—
PA
Other
Enumeration date
07/12/2005
Last updated
07/21/2022
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