| NPI | 1003872953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEO FONTANA Medical Director 732-574-0742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: NJ 22624) |
| Additional Taxonomies | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) (Licence: NJ 22624) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2014-05-12 |