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Organization
ADVANCED IMAGING MEDICAL LLC
Active
Organization
ADVANCED IMAGING MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MERMELSTEIN (MEMBER)
(732) 575-6882
Entity
Organization
Contact information
Practice address
400 DELANCEY ST STE 108, NEWARK, NJ 07105-3846
(973) 589-7777
Mailing address
PO BOX 792, LAKEWOOD, NJ 08701-0792
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
24270
NJ
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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