Organization
WSO IMAGING CENTER LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH A BERGEY MD (PRESIDENT)
(717) 938-2765
Entity
Organization
Contact information
Practice address
405 SAINT JOHNS CHURCH RD, CAMP HILL, PA 17011-5739
(717) 761-7470
(717) 761-6291
Mailing address
629D LOWTHER RD, LEWISBERRY, PA 17339-9527
(717) 938-2765
(717) 932-3095
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
NONE
PA
2085P0229X
Pediatric Radiology Physician
NONE
PA
2085R0202X
Diagnostic Radiology Physician
Primary
NONE
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101016699
—
PA
Enumeration date
09/26/2005
Last updated
01/21/2009
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