Organization
EASTERN DIAGNOSTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER SHEN (OWNER)
(718) 710-1862
Entity
Organization
Contact information
Practice address
1121 INWOOD TER, FORT LEE, NJ 07024-1623
(718) 710-1862
Mailing address
1121 INWOOD TER, FORT LEE, NJ 07024-1623
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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