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NPI Code Detail

MEDICARE: LIMERICK PET ASSOCIATES LLC

MEDICARE: LIMERICK PET ASSOCIATES LLC
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
1261QR0200XRadiology Clinic/Center

General Provider Information

NPI Number : 1275515587
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIMERICK PET ASSOCIATES LLC
Provider Business Mailing Address
First Line : 486 NORRISTOWN RD
Second Line : SUITE 133
City : BLUE BELL
State : PA
Zip : 19422-2353
Country : US
Telephone Number : 610-993-1640
Fax Number : 610-993-1651
Provider Business Practice Location Address
First Line : 420 W LINFIELD TRAPPE RD
Second Line :
City : LIMERICK
State : PA
Zip : 19468-4278
Country : US
Telephone Number : 610-495-0060
Fax Number : 610-495-4798
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. ANDREW KREAMER ROOKE JR.
Credential :
Telephone Number : 610-993-1640
Provider Enumeration Date : 11/14/2005
Last Update Date : 03/05/2013

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Directions to “LIMERICK PET ASSOCIATES LLC ” Practice Location

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