Organization
RADIOLOGY ASSOCIATES OF BURLINGTON COUNTY P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY FOGLE (MANAGER OF CREDENTIALING)
(919) 763-1112
Entity
Organization
Contact information
Practice address
175 MADISON AVE, MOUNT HOLLY, NJ 08060-2038
(609) 267-0700
Mailing address
400 FELLOWSHIP RD STE 200, MOUNT LAUREL, NJ 08054-3437
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2700107
—
NJ
Enumeration date
05/22/2006
Last updated
05/28/2025
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