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Organization
STOCKTON MRI & MOLECULAR IMAGING MEDICAL CENTER, INC
Active
Organization
STOCKTON MRI & MOLECULAR IMAGING MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAVAD JAMSHIDI M.D. (PRESIDENT)
(209) 466-2000
Entity
Organization
Contact information
Practice address
200 E 66TH ST, APT C-904, NEW YORK, NY 10065-9175
(212) 759-7511
Mailing address
PO BOX 26570, FRESNO, CA 93729-6570
(209) 466-2000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A49698
CA
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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