Organization Name: | QUANTUM IMAGING AND THERAPEUTIC ASSOCIATES, INC. |
NPI Number: | 1548657141 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH A BERGEY (PRESIDENT AND CEO) |
Mailing Address: | 629d Lowther Rd Lewisberry |
State: | PA US |
Postal Code: | 173399527 |
Phone Number: | 7179325200 |
Fax Number: | 7179323095 |
NPI Enumeration Date: | 04/21/2015 |
NPI Last Update Date: | 04/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |