Organization
EAST BERGEN IMAGING, LLC
Active
Other names
401 Medical Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM FARRELL (MANAGING MEMBER)
(201) 541-5401
Entity
Organization
Contact information
Practice address
401 SYLVAN AVE, ENGLEWOOD CLIFFS, NJ 07632
(201) 541-5401
(201) 541-5400
Mailing address
PO BOX 785951, PHILADELPHIA, PA 19178-0001
(201) 541-5401
(201) 541-5400
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
22563
NJ
Other
Enumeration date
10/31/2006
Last updated
07/10/2007
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