| NPI | 1134152457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY WEINER Medical Director 973-890-0037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 23451) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |