Organization
PET SCAN OF NJ LLC
Active
Organization
PET SCAN OF NJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WEISBERG (ADMINISTRATOR)
(908) 282-1100
Entity
Organization
Contact information
Practice address
315 ELMORA AVE, ELIZABETH, NJ 07208-1383
(908) 282-1100
Mailing address
315 ELMORA AVE, ELIZABETH, NJ 07208-1383
(908) 282-1100
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
23100
NJ
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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