Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Jul 11, 2006
License(s)
C10007745 (DE), MD427439 (PA), MD427439 (PA), C10007745 (DE), MD427439 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 3900 WOODLAND AVE | Philadelphia, PA 19104-4551 | 215-823-5800 |
| MAILING | 3900 WOODLAND AVE | Philadelphia, PA 19104-4551 | 215-823-5800 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.