Organization · Type 2 NPI
Southeast Radiology Ltd
Diagnostic Radiology Physician · Chester, PA
NPI number
1790779684
Active
Practice location
1 Medical Center Blvd
Chester, PA 19013-3902
Fax (610) 956-0069
Mailing address
PO Box 3247
Evansville, IN 47731-3247
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD015422E (PA) |
| Diagnostic Radiology Physician Primary | 2085R0202X | MD015422E (PA) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1790779684
Southeast Radiology Ltd's National Provider Identifier is 1790779684, issued on Sep 7, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Chester, PA. The record was last updated on Jul 7, 2022.