NPI | 1013319052 |
---|---|
Former Legal Business Name | EYECUITY OF NEW JERSEY |
Entity Type | Organization |
Authorized Contact | MARK J LODESPOTO Owner 201-335-8909 |
Organization Subpart ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: NJ 25MA09300800) |
Enumeration Date | 2014-09-22 |
Last Update Date | 2019-04-17 |