Individual provider · Type 1 NPI

Edward Costa Fourgas, MD

Diagnostic Radiology Physician · Wilkes Barre, PA

NPI number 1982805255 Active

Practice location

1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027

Fax (570) 808-5390

Mailing address

100 N Academy Ave
Danville, PA 17822-4903

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X8232714-1205 (UT)
Neuroradiology Physician 2085N0700XMD448590 (PA)
Diagnostic Radiology Physician 2085R0202X4301088547 (MI)
Diagnostic Radiology Physician Primary 2085R0202XMD448590 (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 1982805255

Edward Costa Fourgas, MD's National Provider Identifier is 1982805255, issued on May 31, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Wilkes Barre, PA. The record was last updated on Aug 19, 2020.