| NPI | 1023530821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MERMELSTEIN Member 732-575-6882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology (Licence: NJ 24270) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2017-07-13 |