| NPI | 1336190784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEO J FONTANA Director 732-574-0742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA05939000) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2009-03-25 |