Organization · NPI-2

Advanced Breast Care Imaging LLC

Clinic/Center, Radiology, Mammography · Allentown, PA

NPI number1700894755
StatusActive
Last updated in NPPESOct 23, 2007

Details

NPI
1700894755
Entity type
Organization (NPI-2)
Legal business name
Advanced Breast Care Imaging LLC
Organization subpart
No
Enumeration date
Aug 4, 2006
Last updated
Oct 23, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0206X Clinic/Center, Radiology, Mammography3331356PAYes

Practice location

250 Cetronia Road
Suite 102
Allentown, PA 18104

Phone 610-366-0444 · Fax 610-366-7288

Mailing address

250 Cetronia Rd
Suite 102
Allentown, PA 18104-9147

Phone 610-366-0444 · Fax 610-366-7288

Authorized official

Mark Alan Gittleman
Medical Director
6103660444

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