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NPI Code Detail

MEDICARE: GETTYSBURG DIAGNOSTIC IMAGING, PC

MEDICARE: GETTYSBURG DIAGNOSTIC IMAGING, 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 : 1669460457
Entity Type Code : Organization
Provider Name (Legal Business Name) : GETTYSBURG DIAGNOSTIC IMAGING, PC
Provider Business Mailing Address
First Line : PO BOX 4238
Second Line :
City : PORTSMOUTH
State : NH
Zip : 03802-4238
Country : US
Telephone Number : 800-889-4447
Fax Number :
Provider Business Practice Location Address
First Line : 147 GETTYS ST
Second Line :
City : GETTYSBURG
State : PA
Zip : 17325-2534
Country : US
Telephone Number : 717-337-1105
Fax Number : 717-337-4227
Authorized Official
Title or Position : PRESIDENT
Name : DR. WILSON TAN
Credential : M.D.
Telephone Number : 717-337-4207
Provider Enumeration Date : 10/06/2005
Last Update Date : 03/13/2020

Similar Medicare Providers

1336208057 — JOHN P WHERTHEY D.O.
Practice Location Address:
147 GETTYS ST
GETTYSBURG, PA
17325-2534
Practice Phone: 717-337-4207
Practice Fax:
1285638783 — PAMELA LYNN BRIAN M.D.
Practice Location Address:
147 GETTYS ST
GETTYSBURG, PA
17325-2534
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1497751853 — DR. MOHAMMED ZULFEQUAR ALI M.D.
Practice Location Address:
147 GETTYS ST
GETTYSBURG, PA
17325-2534
Practice Phone: 717-339-2025
Practice Fax:
1225023765 — DR. CARLOS J VIDAL MD
Practice Location Address:
147 GETTYS ST
GETTYSBURG, PA
17325-2534
Practice Phone: 717-339-2025
Practice Fax: 717-339-2011
1619962016 — DR. PAUL F DENDE DO
Practice Location Address:
147 GETTYS ST
GETTYSBURG, PA
17325-2534
Practice Phone: 717-339-2025
Practice Fax: 717-339-2011
1225026024 — DR. AMY-BETH GARAZO M.D.
Practice Location Address:
147 GETTYS ST
GETTYSBURG, PA
17325-2534
Practice Phone: 717-337-4207
Practice Fax: 717-337-4227

Directions to “GETTYSBURG DIAGNOSTIC IMAGING, PC ” Practice Location

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