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Organization

PROGRESSIVE MEDICAL IMAGING OF BLOOMFIELD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM FARRELL (MANAGING MEMBER)
(201) 541-5401
Entity
Organization

Contact information

Practice address
1255 BROAD AVE, SUITE 101, BLOOMFIELD, NJ 07003
(973) 771-1140
(973) 771-1150
Mailing address
PO BOX 785966, PHILADELPHIA, PA 19178-0001
(201) 541-5401
(201) 541-5400

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
23455
NJ

Other

Enumeration date
10/31/2006
Last updated
07/10/2007
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