Organization
VITAL DIAGNOSTICS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLASE CHIARELLI (ADMINISTRATOR)
(866) 236-2444
Entity
Organization
Contact information
Practice address
121 STATE ROUTE 31 SUITE 300, FLEMINGTON, NJ 08822
(866) 236-2444
Mailing address
738 DESMOND CT, BROOKLYN, NY 11235-4202
(866) 236-2444
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
MA43977
NJ
Other
Enumeration date
10/10/2006
Last updated
03/23/2010
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