NPI | 1851445027 |
---|---|
Entity Type | Organization |
Authorized Contact | HELENE G DEFURIA Administrator 201-836-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: NJ 25MA04933000) |
Additional Taxonomies | 261QR0200X Clinic/Center, Radiology (Licence: NJ 25MA04578500) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2012-08-10 |