Organization
DAMIEN DIAGNOSTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIO DAMIEN (OWNER)
(908) 282-6895
Entity
Organization
Contact information
Practice address
315 ELMORA AVE, SUITE 204, ELIZABETH, NJ 07208-1383
(908) 282-6895
(908) 282-9090
Mailing address
315 ELMORA AVE, SUITE 204, ELIZABETH, NJ 07208-1383
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
25MA05460300
NJ
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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