Roy, Mary N

Roy, Mary N is an individual health care provider with primary practice located at 255 W Lancaster Ave , Paoli PA 19301-1763. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Roy, Mary N can be contacted via phone (610) 648-1000.

Contact Information

Primary practice address
255 W Lancaster Ave Paoli PA 19301-1763
Phone: (610) 648-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD038157E Pennsylvania

Profile Details

NPI number 1710060488
LBN Legal business name Roy, Mary N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Sep 2nd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710060488 NPPES
Pennsylvania Other 0129407604 AMERICHOICE
Pennsylvania Other 0459431000 AMERICHOICE
Pennsylvania Other 629588 AMERICHOICE
Pennsylvania MEDICAID 0012940760005 AMERICHOICE

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