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Organization
MDR DIAGNOSTICS PC
Active
Organization
MDR DIAGNOSTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KATZ (OPERATIONS MANAGER)
(856) 816-5628
Entity
Organization
Contact information
Practice address
317 GEORGE ST, SUITE 415, NEW BRUNSWICK, NJ 08901-2008
(856) 816-5628
Mailing address
317 GEORGE ST, SUITE 415, NEW BRUNSWICK, NJ 08901-2008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
NULL
207RI0011X
Interventional Cardiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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