MR. JERRY JERMAINE WATLINGTON


Address: 201 E Township Line Rd, Upper Darby, PA 19082-1020
Phone: 6107893122

MR. JERRY JERMAINE WATLINGTON (NPI# 1821274754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821274754
Entity Type Individual
Full Name MR. JERRY JERMAINE WATLINGTON
Practice Address 201 E Township Line Rd
Upper Darby
PA 19082-1020
Practice Telephone 6107893122
Mailing Telephone 6107893122
Enumeration Date 2008-01-09
Last Update Date 2008-01-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2471R0002X Radiologic Technologist
Specialization: Radiation Therapy
PA Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 201 E TOWNSHIP LINE RD
City UPPER DARBY
State PA
Zip Code 19082-1020

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Taxonomy Information

Taxonomy Code 2471R0002X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist
Specialization Radiation Therapy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194862235 Debra Janel Lowe Radiologic Technologist 155 Green Acre Rd, Lititz, PA 17543-8768 2007-01-30
1154467199 Denise Rolleri Radiologic Technologist 9 W Front St, Media, PA 19063-2816 2007-01-29
1992820740 Robert William Reynolds Radiologic Technologist 500 University Dr, Hershey, PA 17033-2360 2007-03-20
1366580615 Edward J. Meyer Radiologic Technologist 9 W Front St, Media, PA 19063-2816 2007-02-01

Competitor

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City UPPER DARBY
Zip Code 19082

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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