Organization
NORTHWEST RADIOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY WEXLER M.D. (PRESIDENT)
(973) 625-6650
Entity
Organization
Contact information
Practice address
25 POCONO RD, DENVILLE, NJ 07834-2954
(973) 625-6000
Mailing address
41 PINE ST, SUITE 102, ROCKAWAY, NJ 07866-3139
(973) 627-7922
(973) 627-5957
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7661207
—
NJ
Enumeration date
05/08/2006
Last updated
01/22/2010
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