Anna T Boccardo (NPI# 1124409990, PAC ID# 5698084614) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1124409990 |
PAC ID by PECOS | 5698084614 |
Professional Enrollment ID | I20151014001097 |
Full Name | Anna T Boccardo |
Organization Legal Name | RADIOLOGY ASSOCIATES OF THE MAIN LINE, PC |
Address |
130 S Bryn Mawr Ave Bryn Mawr PA 19010-3121 |
Phone Number | 6105263000 |
Gender | F |
Graduation Year | 2015 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 9931097193 |
Number of Group Practice Members | 62 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
390222 | RIDDLE MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 6105263000 | RADIOLOGY ASSOCIATES OF THE MAIN LINE, PC |
1068 W Baltimore Pike, Media, PA 19063-5104 | 6108913005 | RADIOLOGY ASSOCIATES OF THE MAIN LINE, PC |
100 E Lancaster Ave, Wynewood, PA 19096-3450 | 6106452000 | RADIOLOGY ASSOCIATES OF THE MAIN LINE, PC |
Organization Legal Name | RADIOLOGY ASSOCIATES OF THE MAIN LINE, PC |
Physicians | 26 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joseph Bonn | Diagnostic Radiology | Radiology Associates of The Main Line, PC | 101 S Bryn Mawr Ave, Susquehanna Bank Building, Bryn Mawr, PA 19010-3120 |
Jesse Kavi-raj Sinanan | Diagnostic Radiology | Radiology Associates of The Main Line, PC | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 |
Linda M Russin | Diagnostic Radiology | Radiology Associates of The Main Line, PC | 1991 Sproul Rd, Broomall, PA 19008-3512 |
Thomas Michael Anderson | Diagnostic Radiology | Radiology Associates of The Main Line, PC | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 |
Amy S Fiedler | Nurse Practitioner | Radiology Associates of The Main Line, PC | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 |
Ellana Rodriguez | Diagnostic Radiology | Radiology Associates of The Main Line, PC | 1991 Sproul Rd, Broomall, PA 19008-3512 |
Ryan Christopher Miller | Diagnostic Radiology | Radiology Associates of The Main Line, PC | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 |
Amol Shah | Diagnostic Radiology | Radiology Associates of The Main Line, PC | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 |
Beth A Mallozzi | Diagnostic Radiology | Radiology Associates of The Main Line, PC | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 |
Constance B Sutilla | Diagnostic Radiology | Radiology Associates of The Main Line, PC | 1991 Sproul Rd, Broomall, PA 19008-3512 |
Street Address |
130 S BRYN MAWR AVE |
City | BRYN MAWR |
State | PA |
Zip | 19010-3121 |
Name | Specialty | Organization | Address |
---|---|---|---|
Craig E. Carpenter | Certified Registered Nurse Anesthetist (crna) | United Anesthesia Services PC | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 |
Margaret M Obrien | Anesthesiology | United Anesthesia Services PC | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 |
Jyl M Chandler | Certified Registered Nurse Anesthetist (crna) | United Anesthesia Services PC | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 |
Sivaranjani Penna | Hospitalist | Main Line Healthcare | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 |
Lisa M Deppen | Certified Registered Nurse Anesthetist (crna) | United Anesthesia Services PC | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 |
Leslie P Cahill | Certified Registered Nurse Anesthetist (crna) | United Anesthesia Services PC | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 |
Shotaro Imaizumi | Pathology | Main Line Pathology Associates, PC | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 |
Edina H Grujic | Pathology | Main Line Pathology Associates, PC | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 |
Lee L Peng | Hospitalist | Main Line Healthcare | 130 S Bryn Mawr Ave, H 321, Bryn Mawr, PA 19010-3121 |
Stephanie M Brian | Anesthesiology | United Anesthesia Services PC | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Talya L Escogido | Psychologist, Clinical | 404 Cheswick Pl, Rosemont, PA 19010-1251 | |
Rachel Beth Anolik | Dermatology | Bryn Mawr Skin and Cancer Instititue | 919 Conestoga Rd, Suite 106 Bldg 2, Bryn Mawr, PA 19010-1352 |
Mehrdad M Soroush | Urology | Centers for Advanced Urology LLC | 919 Conestoga Rd, Suite 300, Bryn Mawr, PA 19010-1352 |
David E Mcginnis | Urology | Centers for Advanced Urology LLC | 919 Conestoga Rd, Suite 300, Bryn Mawr, PA 19010-1352 |
Xianmin Meng | Pathology | Regional Womens Health Group LLC | 919 Conestoga Rd, Suite 104, Bryn Mawr, PA 19010-1352 |
Kai Wu | Obstetrics/gynecology | Regional Womens Health Group LLC | 919 Conestoga Rd, Suite 104, Bryn Mawr, PA 19010-1352 |
Margaret A Burns | Obstetrics/gynecology | Regional Womens Health Group LLC | 919 Conestoga Rd, Suite 104, Bryn Mawr, PA 19010-1352 |
Wendy B Ronco | Nurse Practitioner | Regional Womens Health Group LLC | 919 Conestoga Rd, Suite 104, Bryn Mawr, PA 19010-1352 |
Maureen Gallagher | Nurse Practitioner | Regional Womens Health Group LLC | 919 Conestoga Rd, Suite 104, Bryn Mawr, PA 19010-1352 |
William R Atkins | Obstetrics/gynecology | Regional Womens Health Group LLC | 919 Conestoga Rd, Suite 104, Bryn Mawr, PA 19010-1352 |
Find all physicians in zip 19010 |
City | BRYN MAWR |
Zip Code | 19010 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | BRYN MAWR + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Anna T Boccardo.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.