| NPI | 1770735177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUC THI TRAN Owner 732-349-8454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0206X Clinic/Center, Radiology, Mammography (Licence: NJ ma59193) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2008-10-16 |