Organization
DIAGNOSTIC IMAGING OF ELIZABETH LLC
Active
Organization
DIAGNOSTIC IMAGING OF ELIZABETH LLC
Active
Other names
Trinitas Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
LEO J FONTANA MD (DIRECTOR)
(732) 574-0742
Entity
Organization
Contact information
Practice address
415 MORRIS AVE, ELIZABETH, NJ 07208-3612
(732) 574-0742
(732) 574-0143
Mailing address
415 MORRIS AVE, ELIZABETH, NJ 07208-3612
(732) 574-0742
(732) 574-0143
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA05939000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8282805
—
NJ
Enumeration date
05/11/2006
Last updated
12/27/2007
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