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NPI Code Detail

MEDICARE: RADIOLOGY ASSOCIATES OF WESTERN PENNSYLVANIA

MEDICARE: RADIOLOGY ASSOCIATES OF WESTERN PENNSYLVANIA
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 PhysicianN/APA

General Provider Information

NPI Number : 1962404145
Entity Type Code : Organization
Provider Name (Legal Business Name) : RADIOLOGY ASSOCIATES OF WESTERN PENNSYLVANIA
Provider Business Mailing Address
First Line : PO BOX 49
Second Line :
City : PITTSBURGH
State : PA
Zip : 15230-0049
Country : US
Telephone Number : 412-937-5926
Fax Number : 412-937-5706
Provider Business Practice Location Address
First Line : 4800 FRIENDSHIP AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15224-1722
Country : US
Telephone Number : 412-578-1783
Fax Number : 412-578-0139
Authorized Official
Title or Position : PRESIDENT
Name : HARLEY S BEASLEY
Credential : MD
Telephone Number : 412-578-1783
Provider Enumeration Date : 06/01/2005
Last Update Date : 03/03/2008

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Directions to “RADIOLOGY ASSOCIATES OF WESTERN PENNSYLVANIA ” Practice Location

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