Provider First Line Business Practice Location Address:
132 S. 10TH STREET
Provider Second Line Business Practice Location Address:
DEPARTMENT OF RADIOLOGY 1087 MAIN BLDG.
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19107-5244
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-301-1737
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/25/2008