Organization
JANWELLE MEDICAL DIAGNOSTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSELITO C MALONZO (PRESIDENT)
(908) 456-4784
Entity
Organization
Contact information
Practice address
121 N 20TH ST, KENILWORTH, NJ 07033-1201
(908) 456-4784
(201) 257-8818
Mailing address
121 N 20TH ST, KENILWORTH, NJ 07033-1201
(908) 456-4784
(201) 426-0062
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
NJ
Other
Enumeration date
08/06/2011
Last updated
08/14/2011
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