Organization
UNIVERSITY RADIOLOGY-ATLANTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E. EPSTEIN MD (CHAIRMAN)
(732) 390-0040
Entity
Organization
Contact information
Practice address
48 GILBERT STREET NORTH, TINTON FALLS, NJ 07701-4905
(732) 530-5750
(732) 530-5848
Mailing address
579A CRANBURY ROAD, EAST BRUNSWICK, NJ 08816
(732) 390-0040
(732) 955-8874
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
22918
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0370576
—
NJ
Enumeration date
08/29/2012
Last updated
06/17/2020
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