Organization
NBIMC DEPARTMENT OF NUCLEAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YASMIR BISAL (DIRECTOR)
(732) 557-7119
Entity
Organization
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7888
(973) 923-8232
Mailing address
PO BOX 18258, NEWARK, NJ 07191-8258
(732) 557-7119
(732) 557-7109
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8102201
—
NJ
Enumeration date
05/03/2006
Last updated
01/23/2008
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