Organization
NORTHFIELD IMAGING CENTER PA
Active
Organization
NORTHFIELD IMAGING CENTER PA
Active
Other names
Northfield Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L BLOOM MD (PRESIDENT)
(617) 236-0220
Entity
Organization
Contact information
Practice address
772 NORTHFIELD AVE, NORTHFIELD IMAGING CENTER, WEST ORANGE, NJ 07052
(973) 325-0002
(973) 325-8140
Mailing address
1455 BROAD STREET, NORTHFIELD IMAGING CENTER PA 4TH FLOOR, BLOOMFIELD, NJ 07003
(973) 873-9889
(973) 707-1127
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5055407
—
NJ
Enumeration date
09/02/2005
Last updated
08/22/2020
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