SOVEREIGN MEDICAL GROUP LLC

CARLSTADT, NJ
NPI1841589298
Doing Business AsNEW JERSEY INSTITUTE OF RADIOLOGY PC
Entity TypeOrganization
Authorized ContactJOHN H HAJJAR
CEO
201-791-4544
Organization Subpart ?Yes
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
Additional Taxonomies207UN0901X Nuclear Medicine, Nuclear Cardiology
207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy
2085B0100X Radiology, Body Imaging
2085N0700X Radiology, Neuroradiology
2085P0229X Radiology, Pediatric Radiology
2085R0204X Radiology, Vascular & Interventional Radiology
2085U0001X Radiology, Diagnostic Ultrasound
Enumeration Date2011-04-06
Last Update Date2011-06-09
Business Address
SOVEREIGN MEDICAL GROUP LLC
630 BROAD ST
CARLSTADT, NJ 07072-1169
Phone number: 201-372-1020
Mailing Address
SOVEREIGN MEDICAL GROUP LLC
630 BROAD ST
CARLSTADT, NJ 07072-1169
Phone number: 201-372-1020