| NPI | 1215443866 |
|---|---|
| Other Name | ATLANTIC DIAGNOSTIC SERVICES, IPA, LLC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOHN DEGASPERIS President 973-451-8232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2018-06-16 |