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Havertown Radiosurgery Center PC

in Havertown, PA. Organization (NPI-2).

NPI number1427123793
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1427123793
Entity type
Organization (NPI-2)
Legal business name
Havertown Radiosurgery Center PC
Organization subpart
No
Enumeration date
Nov 22, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0001X ––Yes

Other names

  • Cyberknife Center Of Philadelphia (Doing Business As)

Practice location

2010 W Chester Pike
Ste 115
Havertown, PA 19083-2700

Phone 610-446-6850 · Fax 610-446-6852

Mailing address

2010 W Chester Pike
Ste 115
Havertown, PA 19083-2700

Phone 610-446-6850 · Fax 610-446-6852

Authorized official

Luther Weldon Brady
Co-Owner
6104466850

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