Organization Name: | JENNERSVILLE RADIOLOGY, P.C |
NPI Number: | 1346240256 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRACY CARMELLINI (HEAD DOCTOR) |
Mailing Address: | 1015 W Baltimore Pike West Grove |
State: | PA US |
Postal Code: | 193909459 |
Phone Number: | 6103724957 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2005 |
NPI Last Update Date: | 10/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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. |