Healthcare Provider Details

I. General information

NPI: 1740220060
Provider Name (Legal Business Name): BUCKS MONT IMAGING ASSOCIATES INC..
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 06/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

182 BETHLEHEM PIKE
COLMAR PA
18915-9790
US

IV. Provider business mailing address

182 BETHLEHEM PIKE
COLMAR PA
18915-9790
US

V. Phone/Fax

Practice location:
  • Phone: 215-997-1660
  • Fax: 215-997-9433
Mailing address:
  • Phone: 215-997-1660
  • Fax: 215-997-9433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberN/A
License Number StatePA

VIII. Authorized Official

Name: JUDY JONES
Title or Position: BILLING MANAGER
Credential:
Phone: 215-997-1660