Organization
PA ORTHOPEDIC IMAGING ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE HENNIGAR (OFFICE MANAGER)
(215) 947-7992
Entity
Organization
Contact information
Practice address
3501 MASONS MILL RD, SUITE 502, HUNTINGDON VALLEY, PA 19006-3517
(215) 659-3151
(215) 659-4498
Mailing address
3501 MASONS MILL RD, SUITE 502, HUNTINGDON VALLEY, PA 19006-3517
(215) 659-3151
(215) 659-4498
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2640697000
IBC
PA
Enumeration date
05/27/2006
Last updated
08/22/2020
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