Organization
MIDWAY RADIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEANN KENNEDY (OFFICE MANAGER)
(609) 561-3095
Entity
Organization
Contact information
Practice address
856 S WHITE HORSE PIKE STE C-6, HAMMONTON, NJ 08037-2032
(609) 561-9729
(609) 567-8178
Mailing address
PO BOX 750, HAMMONTON, NJ 08037-0750
(609) 561-9729
(609) 567-8178
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5109205
—
NJ
Enumeration date
09/15/2006
Last updated
08/22/2020
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