Organization
ADVANCED RADIOLOGY OF HADDONFIELD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FAZLOLLAH GOLESTANEH MD (PRESIDENT)
(856) 216-0294
Entity
Organization
Contact information
Practice address
66 TANNER ST, HADDONFIELD, NJ 08033
(856) 216-0294
(856) 216-0299
Mailing address
PO BOX 2300, SO VINELAND, NJ 08362-2300
(856) 691-9630
(856) 691-2684
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
02/02/2006
Last updated
02/12/2008
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