Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Apr 7, 2010
License(s)
MD458348 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 3401 CIVIC CENTER BLVD CHOP RADIOLOGY | Philadelphia, PA 19104 | 267-455-3716 |
| LOCATION | 3401 CIVIC BLVD DIVISION OF RADIOLOGY | Philadelphia, PA 19104 | 800-879-2467 |
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.