Organization
MED TEL INTERNATIONAL CORPORATION
Active
Organization
MED TEL INTERNATIONAL CORPORATION
Active
Parent organization
MED TEL INTERNATIOANL CORPORATION
Other names
Wide Open Imaging
Organization subpart
Yes
Provider details
NPI number
Legal business name
MED TEL INTERNATIOANL CORPORATION
Authorized official
JOHN VALLA (VICE PRESIDENT)
(973) 873-9850
Entity
Organization
Contact information
Practice address
405 PHOENIX DR, UNIT A, CHAMBERSBURG, PA 17201-4534
(717) 263-4999
(717) 263-5522
Mailing address
1430 SPRING HILL RD, SUITE 500, MCLEAN, VA 22102-3000
(703) 287-4189
(703) 448-1807
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20-48857
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018487550005
—
PA
Enumeration date
03/15/2007
Last updated
01/14/2008
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