Organization
LACEY DIAGNOSTIC IMAGING, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HARRIGAN M.D. (DIRECTOR/OWNER/ACTIVE, ATTENDING)
(609) 242-2334
Entity
Organization
Contact information
Practice address
833 LACEY ROAD, FORKED RIVER, NJ 08731-1200
(609) 242-2334
(609) 242-2402
Mailing address
833 LACEY RD, FORKED RIVER, NJ 08731-1200
(609) 242-2334
(609) 242-2402
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA05392200
NJ
Other
Enumeration date
06/15/2005
Last updated
03/16/2010
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