Organization
BREAST IMAGING & BIOPSY SPECIALISTS
Active
Other names
HerSpace Breast Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY D RUBIN (CFO)
(732) 571-9100
Entity
Organization
Contact information
Practice address
300 STATE ROUTE 35, 2ND FLOOR, EATONTOWN, NJ 07724-2216
(732) 571-9100
(732) 571-9650
Mailing address
300 STATE ROUTE 35, 2ND FLOOR, EATONTOWN, NJ 07724-2216
(732) 571-9100
(732) 571-9650
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
228016
PTAN
—
Enumeration date
07/03/2006
Last updated
09/18/2014
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