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NPI 1336168558

NPI 1336168558 : MIDDLETOWN COMMUNITY RADIOLOGY, PA : MIDDLETOWN, DE

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General NPI Number Information
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    NPI Number           |    1336168558
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    Entity Type          |    Organization 
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    Legal Business Name  |    MIDDLETOWN COMMUNITY RADIOLOGY, PA 
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Dates
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    Enumeration Date     |    07/19/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    120 SANDHILL DR SUITE 2
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    City                 |    MIDDLETOWN
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    State                |    DE
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    Zip                  |    19709-5806
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    Country              |    US
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    Telephone            |    302-449-5400
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    Fax                  |    302-449-5410
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Provider Business Mailing Address
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    Address Line         |    1001 BRIGGS RD SUITE 210
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    City                 |    MOUNT LAUREL
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    State                |    NJ
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    Zip                  |    08054-4100
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    Country              |    US
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    Telephone            |    856-231-4774
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    Fax                  |    856-231-9699
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     AMARNATH G. SORTUR 
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    Credential           |    M.D.
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    Telephone            |    302-449-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2085B0100X
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    Taxonomy Name        |    Body Imaging Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    2085N0700X
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    Taxonomy Name        |    Neuroradiology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    2085R0204X
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    Taxonomy Name        |    Vascular & Interventional Radiology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    2085U0001X
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    Taxonomy Name        |    Diagnostic Ultrasound Physician
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    License Number       |    
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    License Number State |    
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