| Organization Name: | KNOPF RADIOLOGY AND HEALTH SERVICES |
| NPI Number: | 1063871846 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ZUDDY OGOGO (MANAGING DIRECTOR) |
| Mailing Address: | 634 E,chester Pike Apt F 1 Ridley Park |
| State: | PA US |
| Postal Code: | 19078 |
| Phone Number: | 4844705627 |
| Fax Number: | |
| NPI Enumeration Date: | 02/22/2016 |
| NPI Last Update Date: | 02/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0208X |
| License Number: | 6352517 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mobile |
| Taxonomy Definition: | |