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DISTAR INC. NPI 1518984970


NPI Information

NPI: 1518984970
Provider Name: DISTAR INC.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
10890 BUSTLETON AVE
SUITE 204
PHILADELPHIA, PA
ZIP 19116
Phone: (215) 464-7573
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DISTAR INC. is a diagnostic radiology radiology in Philadelphia, PA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DISTAR INC. NPI is 1518984970. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10890 BUSTLETON AVE
SUITE 204
PHILADELPHIA, PA
ZIP 19116-313
Phone: (215) 464-7573
Fax: (215) 464-7573

The provider's authorized official is Maria Vulfin .
The authorized official title is Manager and has the following contact phone number (215) 464-7573.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 6/17/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseNo
22085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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