NPI | 1356318760 |
---|---|
Entity Type | Organization |
Authorized Contact | VINCENT FESTANTE Credentialing 570-619-6294 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 22788) |
Additional Taxonomies | 261QR0200X Clinic/Center, Radiology (Licence: NJ 22788) |
Enumeration Date | 2006-03-03 |
Last Update Date | 2009-11-02 |