Provider First Line Business Practice Location Address:
324 S 34TH ST
Provider Second Line Business Practice Location Address:
RADIOLOGY DEPARTMENT
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19104-4304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
267-425-7121
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/09/2010