Lisa A Collazzo
SOUTHEAST RADIOLOGY LTD


Address: 3 Pennsford Ln, Media, PA 19063-2051
Phone: 6104472500

Lisa A Collazzo (NPI# 1821083270, PAC ID# 7911935556) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1821083270
PAC ID by PECOS 7911935556
Professional Enrollment ID I20050803000853
Full Name Lisa A Collazzo
Organization Legal Name SOUTHEAST RADIOLOGY LTD
Address 3 Pennsford Ln
Media
PA 19063-2051
Phone Number 6104472500
Gender F
Credential MD
Medical School LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year 1988
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 9133025232
Number of Group Practice Members 29
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
390081 DELAWARE COUNTY MEMORIAL HOSPITAL
390180 CROZER CHESTER MEDICAL CENTER
390195 MAIN LINE HOSPITAL LANKENAU

Other Locations

Address Phone Organization
3 Pennsford Ln, Media, PA 19063-2051 6104472500 SOUTHEAST RADIOLOGY LTD

Organization Information

Organization Legal Name SOUTHEAST RADIOLOGY LTD
Physicians 21

Physicians with the same organization

Name Specialty Organization Address
Amy Vogia Diagnostic Radiology Southeast Radiology Ltd 1 Medical Ctr Blvd, Chester, PA 19013-3902
Matthew Lawrence Uriell Diagnostic Radiology Southeast Radiology Ltd 1 Medical Ctr Blvd, Chester, PA 19013-3902
Adam Robert Fisher Diagnostic Radiology Southeast Radiology Ltd 1 Medical Ctr Blvd, Chester, PA 19013-3902
Fred T Wang Diagnostic Radiology Southeast Radiology Ltd 1 Medical Ctr Blvd, Chester, PA 19013-3902
Krishnamurthy Ramprasad Diagnostic Radiology Southeast Radiology Ltd 30 Lawrence Rd, Suite 300, Broomall, PA 19008-3301
Patricia H Saluk Diagnostic Radiology Southeast Radiology Ltd 1 Medical Ctr Blvd, Chester, PA 19013-3902
Heather G Hahn Diagnostic Radiology Southeast Radiology Ltd 30 Lawrence Rd, Suite 300, Broomall, PA 19008-3301
Alexander Burn Interventional Radiology Southeast Radiology Ltd 1 Medical Ctr Blvd, Chester, PA 19013-3902
Jay M Kleinman Diagnostic Radiology Southeast Radiology Ltd 1 Medical Ctr Blvd, Chester, PA 19013-3902
Ranjit R Shah Diagnostic Radiology Southeast Radiology Ltd 1 Medical Ctr Blvd, Chester, PA 19013-3902

Office Location

Street Address 3 PENNSFORD LN
City MEDIA
State PA
Zip 19063-2051

Physicians in the same zip code

Name Specialty Organization Address
Patricia Bankes Nurse Practitioner Rose Tree Medical Associates LLC 1098 Baltimore Pike, Media, PA 19063
Jay Joseph Constantine Endocrinology 100 W 6th St, Suite 5, Media, PA 19063
Leon G De Masi Preventative Medicine Rose Tree Medical Associates LLC 1098 Baltimore Pike, Media, PA 19063
Roger C Sealy Psychologist, Clinical 890 Paxon Hollow Rd, Media, PA 19063-1003
Sonya Ombima Nurse Practitioner Inpatient Consultants of Pennsylvania PC 100 Halcyon Dr, Media, PA 19063-1041
Valentine B Czubaroff Psychiatry 4 Saddlebrook Cir, Media, PA 19063-1053
Mitchell Jay Cohen Clinical Psychologist 11 Martins Run, Media, PA 19063-1057
Robert W Guerra Optometry 1315 N Providence Rd, Media, PA 19063-1205
Patrick Joseph Mchugh Psychologist, Clinical 1223 N Providence Rd, Rose Tree Office Campus Suite 3, Media, PA 19063-1235
Jerry M Lazaroff Psychologist, Clinical 1029 N Providence Rd, Media, PA 19063-1404
Find all physicians in zip 19063

Competitor

Search similar physicians

City MEDIA
Zip Code 19063
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty MEDIA + DIAGNOSTIC RADIOLOGY

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Dataset Information

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.

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