MEDICARE: MR. JERRY JERMAINE WATLINGTON

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	2471R0002X	Radiation Therapy Radiologic Technologist		PA

General Provider Information

NPI Number	:	1821274754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JERRY JERMAINE WATLINGTON

Provider Business Mailing Address
First Line	:	201 E TOWNSHIP LINE RD
Second Line	:
City	:	UPPER DARBY
State	:	PA
Zip	:	19082-1020
Country	:	US
Telephone Number	:	610-789-3122
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 E TOWNSHIP LINE RD
Second Line	:
City	:	UPPER DARBY
State	:	PA
Zip	:	19082-1020
Country	:	US
Telephone Number	:	610-789-3122
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2008
Last Update Date	:	01/09/2008

Similar Medicare Providers

1578419693 — CHANEL JUTRISTE BAKER
Practice Location Address:

46 CABLE HOLLOW WAY
UPPER MARLBORO, MD
20774-1020

Practice Phone: 240-726-3391
Practice Fax:

1831864834 — HEATHER CURRY LPC
Practice Location Address:

2539 WASHINGTON RD STE 1020-I
UPPER ST CLAIR, PA
15241-2500

Practice Phone: 724-678-2721
Practice Fax:

1801509831 — BRITTANY LIEBERMANN
Practice Location Address:

221 UPPER RIVERDALE RD APT 13F
JONESBORO, GA
30236-1020

Practice Phone: 470-699-7171
Practice Fax:

1417941600 — GREGORY S WILLIS M.D.
Practice Location Address:

6489 SW BORLAND RD
TUALATIN, OR
97062-9798

Practice Phone: 503-692-4843
Practice Fax: 503-692-6543

1811932908 — MAYAGUEZ ADVANCED RADIOTHERAPY CENTER
Practice Location Address:

AVE HOSTOS , CENTRO MEDICO RAMON E. BETANCES
MAYAGUEZ, PR
00682-6353

Practice Phone: 787-834-6070
Practice Fax: 787-834-5535

1417985011 — WESTERN ILLINOIS CANCER TREATMENT CENTER
Practice Location Address:

450 MAYO DR
GALESBURG, IL
61401-1211

Practice Phone: 309-344-2831
Practice Fax: 309-344-2014

Directions to “ MR. JERRY JERMAINE WATLINGTON ” 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.