Organization
NORTH JERSEY DIAGNOSTICS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT LIQUORI (MANAGING MEMBER)
(201) 724-5367
Entity
Organization
Contact information
Practice address
1 BRIDGE PLZ N, SUITE 275, FORT LEE, NJ 07024-7101
(201) 724-5367
Mailing address
1 BRIDGE PLZ N, SUITE 275, FORT LEE, NJ 07024-7101
(201) 724-5367
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
—
—
Other
Enumeration date
09/09/2010
Last updated
01/25/2011
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