| NPI | 1124227392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY KONDAS VP Provider Enrollment/Officer 973-251-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2019-10-28 |