Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Jan 15, 2013
License(s)
MD465811 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 801 OSTRUM ST | Bethlehem, PA 18015-1000 | 484-526-4000 |
| MAILING | PO BOX 678398 | Dallas, TX 75267-8398 | 800-475-6112 |
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