| NPI | 1669056248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LOU DEVANEY Credentialing Manager 732-390-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2022-03-31 |