Organization
SLR DIAGNOSTIC RADIOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANNE BAER MD (MEDICAL DIRECTOR)
(201) 830-3122
Entity
Organization
Contact information
Practice address
144 4TH AVENUE, NEW YORK, NY 10003
(212) 473-2300
Mailing address
10 EXCHANGE PLACE, 14TH FLOOR - WSBS, JERSEY CITY, NJ 07302
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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