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Organization
ON-SITE IMAGING
Active
Organization
ON-SITE IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA BAKSHIYEVA (OFFICE MANAGER)
(732) 580-0660
Entity
Organization
Contact information
Practice address
50 US HWY 9 NORTH, SUITE 102, GROSSO OFFICE PARK, MORGANVILLE, NJ 07751
(732) 718-3906
Mailing address
50 HIGHWAY 9 SUITE 102, GROSSO OFFICE PARK, MORGANVILLE, NJ 07751-3321
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
NULL
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
NULL
Other
Enumeration date
02/19/2007
Last updated
08/30/2018
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