Organization
CRANFORD DIAGNOSTIC IMAGING PA
Active
Other names
Cranford Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L BLOOM MD (PRESIDENT)
(617) 236-0220
Entity
Organization
Contact information
Practice address
25 S UNION AVE, CRANFORD DIAGNOSTIC IMAGING, CRANFORD, NJ 07016
(908) 709-1323
(908) 709-1329
Mailing address
1455 BROAD ST, CRANFORD DIAGNOSTIC IMAGING PA 4TH FLOOR, BLOOMFIELD, NJ 07003
(973) 873-9889
(973) 707-1127
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8384509
—
NJ
Enumeration date
09/02/2005
Last updated
07/21/2022
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