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1255113965
WISTERIA IMAGING INSTITUTE, LLC
PHILADELPHIA, PA
NPI
1255113965
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Entity Type
Organization
Authorized Contact
ERIC ALEXANDER ADDO
Owner
860-262-4489
Organization Subpart ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
Enumeration Date
2023-10-17
Last Update Date
2023-10-17
Business Address
WISTERIA IMAGING INSTITUTE, LLC
2835 WEST CHELTENHAM AVE SUITE 312
PHILADELPHIA, PA 19150
Phone number: 860-262-4489
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Mailing Address
WISTERIA IMAGING INSTITUTE, LLC
601 APALACHEE DR NE
ST PETERSBURG, FL 33702-2766
Phone number: 860-262-4489
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