Organization
GARDEN STATE OPEN MRI DIAGNOSTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDUR RAHMAN (OWNER)
(973) 614-9400
Entity
Organization
Contact information
Practice address
831 MAIN AVE, PASSAIC, NJ 07055-8400
(973) 614-9400
(973) 614-9441
Mailing address
831 MAIN AVE, PASSAIC, NJ 07055-8400
(973) 614-9400
(973) 614-9441
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
261QM1200X
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0063398
—
NJ
Enumeration date
12/05/2006
Last updated
05/08/2017
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