Provider Demographics
NPI:1518218940
Name:RADIOLOGICAL DIAGNOSTIC CENTER MEDICAL ASSOCIATION, PA
Entity Type:Organization
Organization Name:RADIOLOGICAL DIAGNOSTIC CENTER MEDICAL ASSOCIATION, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:N
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:866-267-1070
Mailing Address - Street 1:PO BOX 5126
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-5126
Mailing Address - Country:US
Mailing Address - Phone:866-267-1070
Mailing Address - Fax:877-396-2434
Practice Address - Street 1:1708 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-3714
Practice Address - Country:US
Practice Address - Phone:866-267-1070
Practice Address - Fax:877-396-2434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-25
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty