Organization
GARDEN STATE RADIOLOGY NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD SKULTE (PRESIDENT)
(310) 428-9644
Entity
Organization
Contact information
Practice address
157 FRIES MILL RD, TURNERSVILLE, NJ 08012-2017
(856) 677-1010
(856) 677-1020
Mailing address
1510 COTNER AVE, LOS ANGELES, CA 90025-3303
(310) 445-2800
(310) 966-8553
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
23723
NJ
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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