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Organization
NORTH DOVER OPEN MRI LLC
Active
Organization
NORTH DOVER OPEN MRI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY S MOYERS (VICE PRESIDENT)
(732) 370-9902
Entity
Organization
Contact information
Practice address
1215 HIGHWAY 70, SUITE 1003, LAKEWOOD, NJ 08701-5947
(732) 370-9902
(732) 370-9908
Mailing address
1215 HIGHWAY 70, SUITE 1003, LAKEWOOD, NJ 08701-5947
(732) 370-9902
(732) 370-9908
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
24063
NJ
261QR0200X
Radiology Clinic/Center
Primary
24063
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24063
STATE LICENSE
NJ
Enumeration date
09/28/2006
Last updated
08/23/2010
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