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NPI Code Detail

MEDICARE: ROCHESTER RADIOLOGY PC

MEDICARE: ROCHESTER RADIOLOGY PC
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
12085R0202XDiagnostic Radiology Physician

General Provider Information

NPI Number : 1265457931
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROCHESTER RADIOLOGY PC
Provider Business Mailing Address
First Line : 1101 W UNIVERSITY DR
Second Line : RADIOLOGY DEPT
City : ROCHESTER
State : MI
Zip : 48307-1831
Country : US
Telephone Number : 248-652-5325
Fax Number : 248-652-9731
Provider Business Practice Location Address
First Line : 1101 W UNIVERSITY DR
Second Line : RADIOLOGY DEPT
City : ROCHESTER
State : MI
Zip : 48307-1831
Country : US
Telephone Number : 248-652-5325
Fax Number : 248-652-9731
Authorized Official
Title or Position : PRESIDENT
Name : RENE D LOREDO
Credential : MD
Telephone Number : 248-652-5617
Provider Enumeration Date : 07/13/2006
Last Update Date : 08/22/2020

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1649296849 — KATHARINE A SCHARER MD
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Directions to “ROCHESTER RADIOLOGY PC ” Practice Location

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