Organization
RADIOLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEO J FONTANA MD (DIRECTOR)
(732) 574-0742
Entity
Organization
Contact information
Practice address
727 NORTH BEERS STREET, HOLMDEL, NJ 07733
(732) 381-8686
(732) 499-7724
Mailing address
PO BOX 828050, PHILADELPHIA, PA 19182-8050
(866) 553-9994
(207) 347-7401
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA05939000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2613409
—
NJ
Enumeration date
05/12/2006
Last updated
03/25/2009
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