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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