| NPI | 1063172476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERSON MAR Administrator 973-720-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 261QR0200X Clinic/Center Radiology |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2021-12-27 |