Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Jan 9, 2007
License(s)
md436875 (PA), md436875 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1200 OLD YORK RD | Abington, PA 19001-3720 | 215-481-3926 |
| MAILING | PO BOX 6750 | Portsmouth, NH 03802-6750 | 800-208-7069 |
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