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Organization

BAYONNE IMAGING ASSOCIATES, LLC.

Active
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Organization

BAYONNE IMAGING ASSOCIATES, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER L SMITH M.D. (DIRECTOR/OWNER/ACTIVE RADIOLOGIST)
(201) 858-5461
Entity
Organization

Contact information

Practice address
29TH STREET AT AVENUE E, BAYONNE, NJ 07002
(201) 858-5461
(201) 243-4229
Mailing address
29TH STREET AT AVENUE E, BAYONNE, NJ 07002
(201) 858-5461
(201) 243-4229

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA06884700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0004502
NJ
Enumeration date
06/13/2005
Last updated
08/22/2020
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