Organization Name: | JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES LLC |
NPI Number: | 1154576114 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM PERRY BAKER (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 534 2nd Ave # Rt.29 Ste 102 Collegeville |
State: | PA US |
Postal Code: | 194262654 |
Phone Number: | 6108310500 |
Fax Number: | 6108318989 |
NPI Enumeration Date: | 11/18/2008 |
NPI Last Update Date: | 05/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |