Organization
HOBOKEN RADIOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY R BERGER (ADMINISTRATOR)
(201) 222-2500
Entity
Organization
Contact information
Practice address
79 HUDSON ST, SUITE 100, HOBOKEN, NJ 07030-5638
(201) 222-2500
(201) 469-0555
Mailing address
79 HUDSON ST, SUITE 100, HOBOKEN, NJ 07030-5638
(201) 222-2500
(201) 469-0555
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
23188
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0043001
—
NJ
01
—
036754
CIGNA PPO
NJ
01
—
1600372
AMERIHEALTH PPO
NJ
01
—
2280953000
AMERIHEALTH HMO
NH
01
—
3606490
AETNA HMO
NJ
01
—
7013612
AETNA GOLDEN CHOICE/MEDIC
NJ
01
—
A3197301
OXFORD
NJ
Enumeration date
07/04/2006
Last updated
08/22/2020
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