Organization
RED BANK RADIOLOGISTS, PA
Active
Organization
RED BANK RADIOLOGISTS, PA
Active
Other names
same
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E WOLD MD (VICE PRESIDENT)
(732) 741-9595
Entity
Organization
Contact information
Practice address
200 WHITE RD STE 115, LITTLE SILVER, NJ 07739-1160
(737) 741-9595
(737) 741-0985
Mailing address
6 RIVERVIEW PLAZA, RED BANK, NJ 07701-0476
(732) 747-1429
(732) 747-4778
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
101844
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0094480
GHI
NE
01
—
0094480
GHI
NJ
01
—
0179417
CIGNA
NJ
01
—
074428
AMERIHEALTH PPO
NE
01
—
1072590
HORIZON MERCY NJ HEALTH P
NJ
01
—
17368
AETNA
NE
01
—
23088
AMERIGROUP
NE
05
—
2617005
—
NJ
01
—
CF1683
RR MEDICARE
NJ
01
—
OK8987
HEALTH NET
NH
Enumeration date
07/02/2006
Last updated
05/05/2023
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