| NPI | 1164573655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL GOLDBERG Owner 386-774-5327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085N0904X Radiology, Nuclear Radiology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2020-08-22 |