| NPI | 1144063165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA PACHECO Credentialing Supervisor 201-833-3599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-06-17 |