Organization
BERGENLINE X RAY DIAGNOSTIC CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PEDRO RODRIGUEZ (PRESIDENT/CEO)
(201) 348-6060
Entity
Organization
Contact information
Practice address
402 43RD ST, UNION CITY, NJ 07087-5010
(201) 348-6060
(201) 348-2064
Mailing address
402 43RD ST, UNION CITY, NJ 07087-5010
(201) 348-6060
(201) 348-2064
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
261QR0200X
Radiology Clinic/Center
23058
NJ
Other
Enumeration date
04/14/2008
Last updated
08/29/2008
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