Wellformed AI

NPI 1336168558 · live from the CMS NPI Registry

Middletown Community Radiology, PA

Radiology, Diagnostic Ultrasound in Middletown, DE. National Provider Identifier 1336168558, active.

NPI record

NPI1336168558 Type 2 · organization
StatusActive
Primary specialtyRadiology, Diagnostic Ultrasound 2085U0001X
Practice location120 Sandhill Dr, Suite 2, Middletown, DE 19709
Practice phone302-449-5400
Mailing address1001 Briggs Rd, Suite 210, Mount Laurel, NJ 08054
EnumeratedJuly 19, 2006
Last updatedSeptember 11, 2025
Authorized officialAmarnath Sortur, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Radiology, Body Imaging2085B0100X—
2085N0700X—
Radiology, Diagnostic Radiology2085R0202X—
Radiology, Vascular & Interventional Radiology2085R0204X—
Radiology, Diagnostic Ultrasound primary2085U0001X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.