Advanced Breast Care Imaging LLC

Primary specialty

Mammography Clinic/CenterTaxonomy code 261QR0206X

License

3331356 Issued in PA

Legal business name

ADVANCED BREAST CARE IMAGING LLC

Practice address

250 Cetronia Road
Suite 102
Allentown, PA 18104

Phone

(610) 366-0444

Fax

(610) 366-7288

NPI assigned

Aug 4, 2006

Last updated

Oct 23, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Alan Gittleman, MDNPI 1215912274

Title

Medical Director

Phone

(610) 366-0444

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark A Gittleman, M.D.

  • Surgery Physician
  • Bethlehem, PA
  • NPI 1215912274
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1700894755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CETRONIA RD",
            "address_2": "SUITE 102",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049147",
            "telephone_number": "610-366-0444",
            "fax_number": "610-366-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CETRONIA ROAD",
            "address_2": "SUITE 102",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18104",
            "telephone_number": "610-366-0444",
            "fax_number": "610-366-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BREAST CARE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "GITTLEMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "610-366-0444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "PA",
            "license": "3331356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mammography Clinic/Center in Allentown, PA
• Providers in Allentown, PA by specialty
• Mammography Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.