| NPI | 1962874610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASANDRA AUTRY Director 732-308-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: NJ 25MA06928800) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2015-10-21 |