| NPI | 1285676726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK LAWRENCE BALDASSARE Medical Directtor 201-567-6156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2010-04-30 |