Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Aug 30, 2018
License(s)
MD479886 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 13579 | Reading, PA 19612-3579 | |
| LOCATION | 420 S 5TH AVE | West Reading, PA 19611-2143 | 484-628-8108 |
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