Organization
PENNINGTON RADIOLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN W RUBINOFF MD (CO-DIRECTOR)
(973) 365-4456
Entity
Organization
Contact information
Practice address
350 BOULEVARD, PASSAIC, NJ 07055-2840
(973) 365-4450
(973) 916-2033
Mailing address
PO BOX 299, EMERSON, NJ 07630-0299
(973) 365-4450
(973) 916-2033
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055379
—
NJ
Enumeration date
07/13/2006
Last updated
04/12/2021
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