| University Dynamic Mri | |
|
1938 S Columbus Blvd Philadelphia PA 19148-2802 | |
| (215) 462-1500 | |
| (215) 462-2010 |
| Full Name | University Dynamic Mri |
|---|---|
| Speciality | Clinic/center - Magnetic Resonance Imaging (mri) |
| Location | 1938 S Columbus Blvd, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Ellen C Bamba (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 2154251500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Dynamic Mri 1938 S Columbus Blvd Philadelphia PA 19148-2802 Ph: (215) 462-1500 | University Dynamic Mri 1938 S Columbus Blvd Philadelphia PA 19148-2802 Ph: (215) 462-1500 |
| NPI Number | 1164648135 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 06/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164648135 | NPI | - | NPPES |
| 045575900 | Other | INDEPENDENCE BLUE CROSS/PERSONAL CHOICE | |
| 626086 | Other | PA | HIGHMARK BLUE SHIELD |
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