Organization
RIVER MEDICAL IMAGING, LLC
Active
Organization
RIVER MEDICAL IMAGING, LLC
Active
Other names
River Medical Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IVETTE CUEVAS RN (EXECUTIVE ADMINISTRATOR)
(732) 721-5501
Entity
Organization
Contact information
Practice address
1430 HOOPER AVE, SUITE 102, TOMS RIVER, NJ 08753-2895
(732) 505-1888
(732) 721-7890
Mailing address
540 BORDENTOWN AVE, BOX 2A, SOUTH AMBOY, NJ 08879-1544
(732) 721-5501
(732) 721-7890
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
23127
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0031259
—
NJ
01
—
23127
DEPT OF HEALTH/HUMAN SERV
NJ
Enumeration date
12/23/2005
Last updated
08/22/2020
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