Organization Name: | LOWER BUCKS RADIOLOGY ASSOCIATES PC |
NPI Number: | 1023012697 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PHILLIP BRACKIN (DIRECTOR/ACTIVE,ATTNDNG RADIOLOGIST) |
Mailing Address: | 501 Bath Rd Bristol |
State: | PA US |
Postal Code: | 190073101 |
Phone Number: | 2157859070 |
Fax Number: | 2157859021 |
NPI Enumeration Date: | 06/10/2005 |
NPI Last Update Date: | 12/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | MD014032E |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |