Organization
NOA DIAGNOSTICS OF PA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN JASSER (PRESIDENT)
(516) 986-2700
Entity
Organization
Contact information
Practice address
100 WOOD AVE S, SUITE 110, ISELIN, NJ 08830-2727
(516) 986-2700
(516) 986-2710
Mailing address
6851 JERICHO TPKE, SUITE 150, SYOSSET, NY 11791-4494
(516) 986-2700
(516) 986-2710
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
10/17/2014
Last updated
10/30/2014
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