Organization
IMAGING ASSOCIATES PA
Active
Other names
Morris Sussex MRI
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L BLOOM MD (PRESIDENT)
(617) 236-0220
Entity
Organization
Contact information
Practice address
121 CENTER GROVE RD, MORRIS SUSSEX MRI, RANDOLPH, NJ 07869-4453
(973) 989-8400
(973) 989-5208
Mailing address
1455 BROAD ST, 4TH FLOOR IMAGING ASSOCIATES PA, BLOOMFIELD, NJ 07003-3003
(973) 873-9889
(973) 707-1127
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8022402
—
NJ
Enumeration date
08/30/2005
Last updated
08/22/2020
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