Organization
DIAGNOSIS CENTER OF EXCELLENCE, CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAFIK W FAKHOURI (PRESIDENT)
(201) 424-4847
Entity
Organization
Contact information
Practice address
8901 JFK BLVD E, NORTH BERGEN, NJ 07047
(201) 424-4847
Mailing address
575 LIBERTY AVE, JERSEY CITY, NJ 07307-3910
(201) 424-4847
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
—
—
225100000X
Physical Therapist
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
2471B0102X
Bone Densitometry Radiologic Technologist
—
—
2471S1302X
Sonography Radiologic Technologist
—
—
Other
Enumeration date
03/27/2012
Last updated
09/10/2012
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