Organization
NEWARK DIAGNOSTIC RADIOLOGISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANEL DIMARIA (OFFICE ADMINISTRATOR)
(732) 383-4155
Entity
Organization
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(732) 383-4155
(732) 383-4171
Mailing address
201 LYONS AVE, NEWARK, NJ 07112-2027
(732) 383-4155
(732) 383-4171
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2950405
—
NJ
Enumeration date
02/06/2007
Last updated
10/28/2008
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