Organization
IMAGING CENTER MONTVILLE LLC WAYNE RADIOLOGY CENTER
Active
Organization
IMAGING CENTER MONTVILLE LLC WAYNE RADIOLOGY CENTER
Active
Other names
Wayne Radiology Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERSON MAR (ADMINISTRATOR)
(973) 720-0050
Entity
Organization
Contact information
Practice address
516 HAMBURG TPKE STE 6, WAYNE, NJ 07470-2063
(973) 720-0050
Mailing address
516 HAMBURG TPKE STE 6, WAYNE, NJ 07470-2063
(973) 720-0050
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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