Organization
A.G. DIKENGIL, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAURANG RAVAJI BRAHMBHATT MD (CMO)
(201) 706-8490
Entity
Organization
Contact information
Practice address
736 PAGE AVE, LYNDHURST, NJ 07071-2541
(201) 729-1234
(201) 729-1233
Mailing address
1 HARMON PLZ FL 10, SECAUCUS, NJ 07094-2803
(201) 729-1234
(201) 729-1233
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0837148
—
NJ
Enumeration date
12/29/2006
Last updated
05/30/2024
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