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Organization
GARDEN STATE ADVANCED IMAGING, LLC
Active
Organization
GARDEN STATE ADVANCED IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER H. COLETTI MD (PRESIDENT)
(201) 294-1426
Entity
Organization
Contact information
Practice address
147 W CENTRAL AVE, BERGENFIELD, NJ 07621-1209
(201) 294-1426
(201) 261-6276
Mailing address
PO BOX 675, BERGENFIELD, NJ 07621-0675
(201) 294-1426
(201) 261-6276
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2009
Last updated
12/16/2009
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