| NPI | 1104097682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS T GIBBENS President 732-530-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NJ MA06225500) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |