| NPI | 1326076357 |
|---|---|
| Doing Business As | MIDTOWN MEDICAL PAVILION |
| Entity Type | Organization |
| Authorized Contact | JAY LEE President 201-830-3122 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0205X Radiology, Radiological Physics |
| 2085P0229X Radiology, Pediatric Radiology | |
| 2085N0904X | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2013-03-06 |