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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