Organization
OPEN MRI & IMAGING OF NEWARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENEDETTO BIGICA (PRESIDENT)
(973) 274-0200
Entity
Organization
Contact information
Practice address
243 CHESTNUT STREET, NEWARK, NJ 07105-6501
(973) 274-0200
(973) 274-0220
Mailing address
243 CHESTNUT STREET, NEWARK, NJ 07105-6501
(973) 274-0200
(973) 274-0220
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
22479
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0122068
—
NJ
Enumeration date
04/27/2007
Last updated
07/07/2008
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