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Individual

AUSTIN R PANTEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3400 SPRUCE ST, DEPARTMENT OF RADIOLOGY, PHILADELPHIA, PA 19104-4206
(215) 662-3000
Mailing address
3400 SPRUCE ST, DEPARTMENT OF RADIOLOGY, PHILADELPHIA, PA 19104-4206
(215) 662-3000

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
MD459664
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MD459664
PA

Other

Enumeration date
06/17/2011
Last updated
07/21/2022
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