Organization
ADVANCED INTERVENTIONAL RADIOLOGY SERVICES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN RUNDBACK M.D. (PRESIDENT)
(201) 420-7070
Entity
Organization
Contact information
Practice address
176 PALISADE AVE, RADIOLOGY DEPT-FLR 3, JERSEY CITY, NJ 07306-1121
(201) 420-7070
(201) 795-8629
Mailing address
PO BOX 17318, JERSEY CITY, NJ 07307-7318
(201) 420-7070
(201) 795-8629
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA079791
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6299806
—
NJ
Enumeration date
04/04/2007
Last updated
08/22/2020
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