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Organization
MEDEX DIAGNOSTIC
Active
Organization
MEDEX DIAGNOSTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SVETLANA JOSAN (PRESIDENT)
(917) 704-3883
Entity
Organization
Contact information
Practice address
12 VERMEER DR APT 3, SOUTH AMBOY, NJ 08879-2347
(954) 478-1170
Mailing address
12 VERMEER DR APT 3, SOUTH AMBOY, NJ 08879-2347
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
NULL
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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