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Organization
PROGRESSIVE MEDICAL IMAGING OF BLOOMFIELD, LLC
Active
Organization
PROGRESSIVE MEDICAL IMAGING OF BLOOMFIELD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM FARRELL (MANAGING MEMBER)
(201) 541-5401
Entity
Organization
Contact information
Practice address
1255 BROAD AVE, SUITE 101, BLOOMFIELD, NJ 07003
(973) 771-1140
(973) 771-1150
Mailing address
PO BOX 785966, PHILADELPHIA, PA 19178-0001
(201) 541-5401
(201) 541-5400
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
23455
NJ
Other
Enumeration date
10/31/2006
Last updated
07/10/2007
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