Organization
NEW JERSEY BREAST DIAGNOSTIC CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERTRAM ALLEN WEISS MD (OWNER)
(201) 444-4412
Entity
Organization
Contact information
Practice address
145 PROSPECT ST, RIDGEWOOD, NJ 07450-4493
(201) 444-4412
(201) 444-6966
Mailing address
145 PROSPECT ST, RIDGEWOOD, NJ 07450-4493
(201) 444-4412
(201) 444-6966
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/09/2006
Last updated
05/13/2008
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