Organization
HARBOR MEDICAL IMAGING, LLC
Active
Other names
Harbor Medical Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IVETTE CUEVAS RN (EXECUTIVE ADMINISTATOR)
(732) 721-5501
Entity
Organization
Contact information
Practice address
127 MONTGOMERY ST, JERSEY CITY, NJ 07302-3616
(201) 200-9700
(201) 200-9591
Mailing address
540 BORDENTOWN AVE, BOX 2A, SOUTH AMBOY, NJ 08879-1544
(732) 721-5501
(732) 721-7890
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
22958
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22958
DEPT OF HEALTH/HUMAN SER
NJ
05
—
8963207
—
NJ
Enumeration date
12/23/2005
Last updated
08/22/2020
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