| Diagnostic Breast Center | |
|
3475 W Chester Pike Ste 240 Newtown Square PA 19073-4280 | |
| (610) 356-9030 | |
| (610) 356-9036 |
| Full Name | Diagnostic Breast Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3475 W Chester Pike, Newtown Square, Pennsylvania |
| Authorized Official Name and Position | Kimberly Kubek (OWNER/DIRECTOR) |
| Authorized Official Contact | 6103569030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diagnostic Breast Center 3475 W Chester Pike Ste 240 Newtown Square PA 19073-4280 Ph: (610) 356-9030 | Diagnostic Breast Center 3475 W Chester Pike Ste 240 Newtown Square PA 19073-4280 Ph: (610) 356-9030 |
| NPI Number | 1811932932 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9830385590 |
|---|---|
| Medicare Enrollment ID | O20101122000234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811932932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 154161 (Pennsylvania) | Primary |
| Provider Name | Kimberly A Kubek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982645867 PECOS PAC ID: 0749476406 Enrollment ID: I20101122000541 |
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