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Organization
EAST BERGEN IMAGING, LLC
Active
Organization
EAST BERGEN IMAGING, LLC
Active
Other names
401 Medical Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM FARRELL (MANAGING MEMBER)
(201) 541-5401
Entity
Organization
Contact information
Practice address
401 SYLVAN AVE, ENGLEWOOD CLIFFS, NJ 07632
(201) 541-5401
(201) 541-5400
Mailing address
PO BOX 785951, PHILADELPHIA, PA 19178-0001
(201) 541-5401
(201) 541-5400
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
22563
NJ
Other
Enumeration date
10/31/2006
Last updated
07/10/2007
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