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Dr. Edward Costa Fourgas, MD
Diagnostic Radiology Physician in Wilkes Barre, Pennsylvania
NPI 1982805255

Edward Costa Fourgas is a Diagnostic Radiology Physician based in Danville, PA and is specialized in Diagnostic Radiology. Edward Costa Fourgas practices in Wilkes Barre, PA and has the professional credentials of MD. The NPI Number for Edward Costa Fourgas is 1982805255 and holds a License No. 8232714-1205 (Pennsylvania).

The current practice location address for Edward Costa Fourgas is 1000 E Mountain Blvd, Wilkes Barre, PA and can be reached out via phone at 570-808-7779 and via fax at 570-808-5390.

Location: 1000 E Mountain Blvd, Wilkes Barre, PA, 17822-4903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982805255
Provider Name
Edward Costa Fourgas
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1000 E Mountain Blvd, Wilkes Barre, PA, 17822-4903
Phone Number
570-808-7779
Fax Number
570-808-5390
Provider Enumeration Date
05/31/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1000 E Mountain Blvd
City
Wilkes Barre
State
Pennsylvania
Zip
18711-0027
Phone Number
570-808-7779
Fax Number
570-808-5390
person
Provider Business Mailing Address Details
Address
1000 E Mountain Blvd
City
Wilkes Barre
State
Pennsylvania
Zip
18711-0027
Phone Number
570-808-7779
Fax Number
570-808-5390
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Neuroimaging
Taxonomy
2085D0003X
License No.
4301088547 (Michigan)
Definition
A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
MD448590 (Pennsylvania)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
8232714-1205 (Utah)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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