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Organization
NEW JERSEY PORTABLE X-RAY INC
Active
Organization
NEW JERSEY PORTABLE X-RAY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA A FOWLER (OWNER)
(516) 361-3290
Entity
Organization
Contact information
Practice address
99 JERICHO TPKE STE 204, JERICHO, NY 11753-1015
(516) 432-3800
(516) 897-3915
Mailing address
99 JERICHO TPKE, SUITE 204, JERICHO, NY 11753-1073
(516) 432-3800
(516) 897-3915
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
NULL
Other
Enumeration date
04/27/2012
Last updated
11/06/2019
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