Organization
ENGLEWOOD RADIOLOGIC GROUP P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SHAPIRO MD (CHIEF DEPT OF RADIOLOGY)
(201) 894-3480
Entity
Organization
Contact information
Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631
(201) 894-3400
(201) 894-5244
Mailing address
350 ENGLE ST, ENGLEWOOD, NJ 07631
(201) 894-3400
(201) 894-5244
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2616904
—
NJ
Enumeration date
04/28/2006
Last updated
01/12/2024
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