MEDICARE: JEANES RADIOLOGY ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1205832417
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEANES RADIOLOGY ASSOCIATES

Provider Business Mailing Address
First Line	:	PO BOX 827275
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19182-7275
Country	:	US
Telephone Number	:	215-663-5910
Fax Number	:

Provider Business Practice Location Address
First Line	:	1619 GRANT AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19115-3167
Country	:	US
Telephone Number	:	215-934-6100
Fax Number	:	215-934-6713

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MICHAEL CARR
Credential	:
Telephone Number	:	215-663-5910

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1841297736 — DR. NANCY JACOBS GOLDENBERG M.D.
Practice Location Address:

1619 GRANT AVE
PHILADELPHIA, PA
19115-3167

Practice Phone: 215-934-6100
Practice Fax: 215-934-6713

1174579973 — DR. ANDREW JOSEPH CURTIN MD
Practice Location Address:

1619 GRANT AVE
PHILADELPHIA, PA
19115-3167

Practice Phone: 215-934-6100
Practice Fax:

1639110240 — JEANES RADIOLOGY ASSOCIATES, LLC
Practice Location Address:

1619 GRANT AVE , GRANT PLAZA II
PHILADELPHIA, PA
19115-3167

Practice Phone: 215-676-3300
Practice Fax: 215-677-0980

1699715334 — JEANS RADIOLOGY ASSOCIATES
Practice Location Address:

1619 GRANT AVE , GRANT PLAZA II
PHILADELPHIA, PA
19115-3167

Practice Phone: 215-934-6100
Practice Fax: 215-934-6713

1073689097 — FERN MARLA GROSSMAN D.C.
Practice Location Address:

1619 GRANT AVE , GRANT PLAZA II
PHILADELPHIA, PA
19115-3167

Practice Phone: 215-934-5401
Practice Fax: 215-934-5452

1457525214 — PRINCE OFOSU-MENSAH, DMD, PC.
Practice Location Address:

1619 GRANT AVE , SUITE 23
PHILADELPHIA, PA
19115-3167

Practice Phone: 215-673-4940
Practice Fax:

Directions to “JEANES RADIOLOGY ASSOCIATES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.