Organization
MONTCLAIR RADIOLOGICAL ASSOC ,PA
Active
Organization
MONTCLAIR RADIOLOGICAL ASSOC ,PA
Active
Other names
Montclair Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
AMY LASZCZYNSKI (ADMINISTRATIVE ASSISTANT)
(973) 284-0038
Entity
Organization
Contact information
Practice address
20 HIGH ST, NUTLEY, NJ 07110
(973) 284-0020
(973) 284-6310
Mailing address
116 PARK ST, MONTCLAIR, NJ 07042-2930
(973) 284-0028
(973) 778-6203
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
23399
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2608103
—
NJ
Enumeration date
10/03/2006
Last updated
01/17/2023
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