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Organization

PENNSAUKEN DIAGNOSTIC CENTER

Active
Parent organization
PENNSAUKEN DIAGNOSTIC CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
PENNSAUKEN DIAGNOSTIC CENTER
Authorized official
MRS. SHAZEEN ALI D.O (ADMINISTRATOR/CHIEF EXECUTIVE OFFIC)
(856) 662-7581
Entity
Organization

Contact information

Practice address
6027 SOUTH CRESCENT BLVD, PENNSAUKEN, NJ 08110-6401
(856) 662-7581
(856) 662-7584
Mailing address
6027 SOUTH CRESCENT BLVD, PENNSAUKEN, NJ 08110-6401
(856) 662-7581
(856) 662-7584

Taxonomy

Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0311715
NJ
Enumeration date
09/25/2012
Last updated
09/07/2023
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