Organization
SINUS & DENTAL IMAGING CENTER OF NJ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY YOUSSEF (PRESIDENT)
(973) 773-2348
Entity
Organization
Contact information
Practice address
115 FRANKLIN AVE, NUTLEY, NJ 07110-2924
(973) 773-2348
Mailing address
115 FRANKLIN AVENUE, NUTLEY, NJ 07110
(973) 773-2348
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
24349
NJ
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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