Organization
ADVANCED MAGNETIC IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT FESTANTE (CREDENTIALING)
(570) 619-6294
Entity
Organization
Contact information
Practice address
6416 BERGENLINE AVENUE, WEST NEW YORK, NJ 07093
(201) 295-1099
(201) 295-1035
Mailing address
6416 BERGENLINE AVENUE, WEST NEW YORK, NJ 07093
(201) 295-1099
(201) 295-1035
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
22788
NJ
261QR0200X
Radiology Clinic/Center
22788
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7425805
—
NJ
Enumeration date
03/03/2006
Last updated
11/02/2009
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