Organization
AZONIC DIAGNOSTIC SONOGRAPHY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PITAYA CHAITUM RDMS, RDCS, RVT (REGISTERED SONOGRAPHER)
(201) 667-0327
Entity
Organization
Contact information
Practice address
592 RIVER RD, NEW MILFORD, NJ 07646-2914
(201) 667-0327
Mailing address
592 RIVER RD, NEW MILFORD, NJ 07646-2914
(201) 667-0327
Taxonomy
Speciality
Code
Description
License number
State
246X00000X
Cardiovascular Specialist/Technologist
—
—
246XC2903X
Vascular Specialist/Technologist Cardiovascular
—
—
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
—
—
2471S1302X
Sonography Radiologic Technologist
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
Other
Enumeration date
12/29/2011
Last updated
11/10/2016
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