Organization
MAIN MEDICAL IMAGING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANSOUR SAQFELHAIT (MANAGER)
(973) 777-6661
Entity
Organization
Contact information
Practice address
1003 MAIN AVE # 1011, CLIFTON, NJ 07011-2333
(973) 777-6661
(973) 777-1311
Mailing address
1003 MAIN AVE # 1011, CLIFTON, NJ 07011-2333
(973) 777-6661
(973) 777-1311
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MA044755
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5567505
—
NJ
Enumeration date
12/12/2006
Last updated
08/22/2020
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