Individual
NANCY CECILE PRENDERGAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
264 AMBOY AVE, UNIVERSITY RADIOLOGY GROUP PC, METUCHEN, NJ 08840-2441
(732) 548-2322
(732) 548-3392
Mailing address
579A CRANBURY RD, UNIVERSITY RADIOLOGY GROUP PC, EAST BRUNSWICK, NJ 08816
(732) 390-0040
(732) 390-1856
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA02797100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01511908
—
NY
05
—
8714401
—
NJ
Enumeration date
12/14/2005
Last updated
01/05/2011
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