Individual
MICHAEL IRWIN UNTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 W RENAISSANCE BLVD, FARMINGDALE, NJ 07727-4335
(732) 757-2385
(732) 280-5479
Mailing address
121 W RENAISSANCE BLVD, FARMINGDALE, NJ 07727-4335
(732) 757-2385
(732) 280-2107
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA04215400
NJ
Other
Enumeration date
06/16/2005
Last updated
07/30/2021
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