| NPI | 1386772226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA HARPER Billing Representative 201-996-4053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA02784400) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA07666200) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |