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A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology |
| NPI Number | 1649383910 |
| LBN Legal business name | PROVENA IMAGING SERVICES INC |
| Authorized official | EDWARD MOLARE - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/17/2006 |
| Last updated | 08/22/2020 - About 6 years ago |
| Identifiers | n/a |
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PROVENA IMAGING SERVICES INC
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PROVENA IMAGING SERVICES INC