Unknown Individual – Diagnostic Radiology Physician, NPI 1366520934
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
132, South 10th Street, Philadelphia, Philadelphia County, Pennsylvania, 19107, United States
1080A, MAIN BUILDING
PHILADELPHIA, PA 191075244
Phone: (215) 955-5211
Fax: (215) 955-8549
Type: Mailing
2201 Chapel Ave W
Cherry Hill, NJ 080022048
Phone: (856) 488-6500
Fax: (856) 488-6507
Type: Location
435 Hurffville Cross Keys Rd
Turnersville, NJ 080122453
Phone: (856) 582-2500
Fax: (856) 218-2096
Type: Location
18 E Laurel Rd
Stratford, NJ 080841327
Phone: (856) 346-6000
Fax: (856) 346-6010
Type: Location
2301 S Broad St Fl 2
Philadelphia, PA 191483542
Phone: (215) 952-9148
Fax: (215) 952-9965
Type: Location
2607 Rhawn St
Philadelphia, PA 191523038
Phone: (215) 333-0304
Fax: (215) 333-1402
Type: Location
700 Walnut St
Philadelphia, PA 191063505
Phone: (215) 503-7300
Fax: (215) 503-5666
Type: Location
2021 Chestnut St
Philadelphia, PA 191033373
Phone: (267) 443-2020
Fax: (215) 640-8860
Type: Location
2607, Rhawn Street, Lexington Park, Philadelphia, Philadelphia County, Pennsylvania, 19152, United States
PHILADELPHIA, PA 191523038
Phone: (215) 333-0304
Fax: (215) 333-1402
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19107)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | PA | 74177 | CT scan of abdomen and pelvis with contrast | 176 | 171 |
| DIAGNOSTIC RADIOLOGY | PA | 76830 | Ultrasound pelvis through vagina | 16 | 16 |
| DIAGNOSTIC RADIOLOGY | PA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 15 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | PA | |
| - | PA | |
| Diagnostic Radiology | PA | |
| - | PA | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | PA |
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