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Roy J Fertakos, MD
Diagnostic Radiology Physician in Bethlehem, Pennsylvania
NPI 1356448773

Roy J Fertakos is a Diagnostic Radiology Physician based in Dallas, PA and is specialized in Diagnostic Radiology. Roy J Fertakos practices in Bethlehem, PA and has the professional credentials of MD. The NPI Number for Roy J Fertakos is 1356448773 and holds a License No. 25MA05686200 (Pennsylvania).

The current practice location address for Roy J Fertakos is 801 Ostrum St, Bethlehem, PA and can be reached out via phone at 484-526-4000 and via fax at 706-653-1230.

Location: 801 Ostrum St, Bethlehem, PA, 75267-8398
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356448773
Provider Name
Roy J Fertakos
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
801 Ostrum St, Bethlehem, PA, 75267-8398
Phone Number
484-526-4000
Fax Number
706-653-1230
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300110976 01 NJ RAILROAD MEDICARE - SMC
001668701 05 PA
300110976 01 NJ RAILROAD MEDICARE - BRIDGEWATER
300110976 01 NJ RAILROAD MEDICARE - EDISON
8224005 05 NJ
300110976 01 NJ RAILROAD MEDICARE - WARREN
institution
Provider Business Practice Location Address Details
Address
801 Ostrum St
City
Bethlehem
State
Pennsylvania
Zip
18015-1000
Phone Number
484-526-4000
Fax Number
706-653-1230
person
Provider Business Mailing Address Details
Address
801 Ostrum St
City
Bethlehem
State
Pennsylvania
Zip
18015-1000
Phone Number
484-526-4000
Fax Number
706-653-1230
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25MA05686200 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
25MA05686200 (New Jersey)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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