Organization
ADVANCED IMAGING AND RADIOLOGY ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COREY WEINER MD (MEDICAL DIRECTOR)
(973) 890-0037
Entity
Organization
Contact information
Practice address
1031 MCBRIDE AVE, SUITE D 210, WEST PATERSON, NJ 07424-2559
(973) 890-0037
(973) 256-1350
Mailing address
1031 MCBRIDE AVE, SUITE D 210, WEST PATERSON, NJ 07424-2559
(973) 890-0037
(973) 256-1350
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
23451
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5219604
—
NJ
Enumeration date
07/09/2006
Last updated
08/22/2020
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