Organization
SONO IMAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORESTES SANCHEZ MD (MEDICAL DIRECTOR)
(201) 390-1909
Entity
Organization
Contact information
Practice address
583 BROADWAY, PATERSON, NJ 07514-2517
(973) 357-9900
(973) 357-9979
Mailing address
PO BOX 8166, NORTH BERGEN, NJ 07047-8166
(973) 357-9900
(973) 357-9979
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
25MA05792400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5219809
—
NJ
Enumeration date
04/03/2012
Last updated
04/03/2012
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