Provider Demographics
NPI:1740468982
Name:MONTGOMERY RADIOLOGY, P.C.
Entity type:Organization
Organization Name:MONTGOMERY RADIOLOGY, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
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 1:430 PARK AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-2699
Mailing Address - Country:US
Mailing Address - Phone:610-831-0500
Mailing Address - Fax:610-831-8989
Practice Address - Street 1:430 PARK AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-2699
Practice Address - Country:US
Practice Address - Phone:610-831-0500
Practice Address - Fax:610-831-8989
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