| Mnap Diagnostic Imaging | |
|
9908 Roosevelt Blvd Philadelphia PA 19115-1705 | |
| (215) 464-3300 | |
| Not Available |
| Full Name | Mnap Diagnostic Imaging |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 9908 Roosevelt Blvd, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Carole Medoff (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2154351709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mnap Diagnostic Imaging 9908 Roosevelt Blvd Philadelphia PA 19115-1705 Ph: (215) 464-3300 | Mnap Diagnostic Imaging 9908 Roosevelt Blvd Philadelphia PA 19115-1705 Ph: (215) 464-3300 |
| NPI Number | 1750708376 |
|---|---|
| Provider Enumeration Date | 03/20/2014 |
| Last Update Date | 05/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750708376 | NPI | - | NPPES |
| 3045969 | Other | PA | HIGHMARK BLUECROSS |
| 1027993620001 | Medicaid | PA | |
| 248882 | Other | PA | MEDICARE GROUP PTAN |
| PENDING | Other | PA | INDEPENDENCE BLUECROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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