| NPI | 1104028299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE R. SANCHEZ-PENA Owner 201-533-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA02636900) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: 25MA07405000) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-08-22 |