Organization
UNIVERSITY RADIOLOGY TEANECK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
S. THOMAS DUNLAP (CEO)
(732) 390-0040
Entity
Organization
Contact information
Practice address
699 TEANECK RD, TEANECK, NJ 07666-4244
(201) 836-2500
(732) 390-1856
Mailing address
579A CRANBURY RD, EAST BRUNSWICK, NJ 08816-5426
(732) 390-0040
(732) 390-1856
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
NJ
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
NJ
2085N0700X
Neuroradiology Physician
—
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
—
NJ
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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