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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