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NPI Provider: 1205832417
Contact Name: Carr H. Michael
Position: President
Phone: (215) 663-5910
Jeanes Radiology Associates Information:
Jeanes Radiology Associates organization have npi 1205832417, taxonomy code is 174400000X with license number is 546 in . This Business address located in PO Box 827275, Philadelphia, PA 19182 Pennsylvania. Get directions of Jeanes Radiology Associates.
Practice Location
Address: 1619 Grant Ave, Philadelphia, PA 19115
Phone: (215) 934-6100
Business Location
Address: PO Box 827275, Philadelphia, PA 19182
Phone: (215) 663-5910
Taxonomy
Taxonomy Code: 174400000X
License Number: 546
License Number of State: LA
Primary Taxonomy Switch: Y
Enumeration Date: 6/22/2005
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