| NPI | 1174574925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY ANZALONE Physician / Member 973-778-7334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-08-22 |