Organization
ADVANCED RADIOLOGY OF CHERRY HILL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FAZLOLLAH GOLESTANEH MD (PRESIDENT)
(856) 616-9400
Entity
Organization
Contact information
Practice address
13 W ORMOND AVENUE, CHERRY HILL, NJ 08002
(856) 616-9400
(856) 616-9107
Mailing address
PO BOX 2300, SO VINELAND, NJ 08362-2300
(856) 691-9630
(856) 691-2684
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA03109900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2323206
—
NJ
Enumeration date
02/08/2006
Last updated
08/22/2020
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