| NPI | 1316449267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN KONDAS VP Provider Enrollment/Officer 973-251-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2019-10-28 |