Organization
COMMUNITY RADIOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RESA CHERRY (MANAGER)
(856) 829-4555
Entity
Organization
Contact information
Practice address
434 NEW JERSEY AVE, ABSECON, NJ 08201-2423
(609) 383-0500
(609) 383-0376
Mailing address
2800 ROUTE 130 N, SUITE 100, CINNAMINSON, NJ 08077-3035
(856) 829-4555
(856) 829-6644
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
22514
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3430502
—
NJ
Enumeration date
07/07/2005
Last updated
08/22/2020
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