Organization
IMAGING ASSOCIATES PA
Active
Other names
MRImaging of Wayne
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L BLOOM MD (PRESIDENT)
(617) 236-0220
Entity
Organization
Contact information
Practice address
1350 RTE 23, MRIMAGING OF WAYNE, WAYNE, NJ 07470-5839
(973) 628-4671
(973) 628-9582
Mailing address
1455 BROAD ST, 4TH FLOOR IMAGING ASSOCIATES PA, BLOOMFIELD, NJ 07003-3003
(973) 873-9889
(973) 707-1127
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8021902
—
NJ
Enumeration date
09/07/2005
Last updated
08/22/2020
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