Paul Licata
Paul Licata is a Diagnostic Radiology in Lewisberry, Pennsylvania. Graduated from New York University School of Medicine in 1996, 30 years ago. Practices with Quantum Imaging and Therapeutic Associates Inc, a 92-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.
- Years since qualifying
- 30
- Trained at
- New York University School of Medicine
- Licensed in
- PA
- In the registry since
- 2005
Practice location Address checks out
629D Lowther Rd Ste 3950Lewisberry, PA 17339-9527
Phone: (717) 932-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Vascular & Interventional Radiology Physician (primary) | Taxonomy 2085R0204X · Licence MD073064L (PA) |
|---|
Record details
| NPI number | 1790772002 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 3, 2005 |
| Last updated in NPPES | May 24, 2021 |
| Mailing address | 629d Lowther Rd, Suite 3950, Lewisberry, PA 17339-9527 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Also practises | INTERVENTIONAL RADIOLOGY |
| Medical school | NEW YORK UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1996 (30 years in practice) |
| Group practice | Quantum Imaging And Therapeutic Associates Inc — 92 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 12 on file with Medicare |
Other providers in Lewisberry
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Jay Goodman
629D Lowther Rd Ste 3950, Lewisberry, PA 17339-9527 · (717) 932-5200
-
Jason Pennypacker
629D Lowther Rd Ste 3950, Lewisberry, PA 17339-9527 · (717) 932-5200