Organization
AQ RENAISSANCE IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BHAVIKA VEDAWALA (OWNER)
(732) 376-6616
Entity
Organization
Contact information
Practice address
275 HOBART ST, PERTH AMBOY, NJ 08861-3396
(732) 376-6616
(973) 900-8816
Mailing address
275 HOBART ST, PERTH AMBOY, NJ 08861-3396
(732) 376-6616
(973) 900-8816
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
02/14/2024
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