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Organization

COASTALSPINE RADIOLOGY

Active
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Organization

COASTALSPINE RADIOLOGY

Active
Other names
Fellowship Imaging
Organization subpart
No

Provider details

NPI number
Authorized official
MARGUERITE ZOLTEK (BILLING DIRECTOR)
(856) 222-4444
Entity
Organization

Contact information

Practice address
715 B FELLOWSHIP ROAD, MOUNT LAUREL, NJ 08054
(856) 222-4444
(856) 222-4733
Mailing address
715 B FELLOWSHIP ROAD, MOUNT LAUREL, NJ 08054
(856) 222-4444
(856) 222-4733

Taxonomy

Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
NJ

Other

Enumeration date
10/15/2007
Last updated
08/22/2008
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