Organization
IMAGING CENTER OF MONTVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MALONEY (VICE PRESIDENT)
(973) 401-6823
Entity
Organization
Contact information
Practice address
350 MAIN RD, MONTVILLE, NJ 07045-9222
(973) 401-6800
(973) 316-2442
Mailing address
200 AMERICAN RD, MORRIS PLAINS, NJ 07950-2449
(973) 538-9218
(973) 540-8816
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
23449
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088773
—
NJ
Enumeration date
02/13/2006
Last updated
12/15/2010
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