NPI | 1598048316 |
---|---|
Entity Type | Organization |
Authorized Contact | JEANNE BAER Medical Director 201-830-3122 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology |
Enumeration Date | 2011-09-28 |
Last Update Date | 2011-09-28 |