| NPI | 1033740774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEV PUKIN Authorized Official 732-201-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2020-10-31 |