Organization Name: | MADISON RADIOLOGY MEDICAL GROUP |
NPI Number: | 1134118342 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERRY BECKER (PRESIDENT OF MADISON RADIOLOGY) |
Mailing Address: | 65 N Madison Ave Lower Level Pasadena |
State: | CA US |
Postal Code: | 911012035 |
Phone Number: | 6267938189 |
Fax Number: | 6267953975 |
NPI Enumeration Date: | 10/19/2005 |
NPI Last Update Date: | 10/31/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |