Provider Demographics
NPI:1336327576
Name:MONTGOMERY RADIOLOGY, P.C.
Entity Type:Organization
Organization Name:MONTGOMERY RADIOLOGY, P.C.
Other - Org Name:MEDICAL IMAGING OF EXTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ROSALIND
Authorized Official - Middle Name:J
Authorized Official - Last Name:PIAZZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-393-9107
Mailing Address - Street 1:470 JOHN YOUNG WAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2557
Mailing Address - Country:US
Mailing Address - Phone:610-280-0404
Mailing Address - Fax:610-280-0715
Practice Address - Street 1:470 JOHN YOUNG WAY
Practice Address - Street 2:SUITE 100
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2557
Practice Address - Country:US
Practice Address - Phone:610-280-0404
Practice Address - Fax:610-280-0715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology