Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
May 8, 2018
License(s)
MT227670 (PA), 4301508726 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 3400 SPRUCE ST | Philadelphia, PA 19104-4238 | 215-662-4000 |
| MAILING | 44405 WOODWARD AVE | Pontiac, MI 48341-5023 | 248-858-3000 |
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.