Organization
IN HER IMAGE- WEST CALDWELL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD LEVINSON (PRACTICE ADMINISTRATOR)
(201) 247-3927
Entity
Organization
Contact information
Practice address
555 PASSAIC AVE, WEST CALDWELL, NJ 07006-7475
(973) 467-9631
(973) 530-3554
Mailing address
741 NORTHFIELD AVE, SUITE 205, WEST ORANGE, NJ 07052-1174
(973) 467-9631
(973) 530-3554
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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