Organization
ECHOSCAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL M RITOTA R.D.C.S. (TECHNICIAN OWNER)
(973) 919-0855
Entity
Organization
Contact information
Practice address
2 CRESTWOOD DR, MADISON, NJ 07940-1116
(973) 919-0855
(973) 845-2362
Mailing address
2 CRESTWOOD DR, MADISON, NJ 07940-1116
(973) 919-0855
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470000359
RAILROAD MEDICARE
NJ
Enumeration date
11/12/2007
Last updated
11/12/2007
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