Organization
BRICK XRAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUC THI TRAN MD (OWNER)
(732) 349-8454
Entity
Organization
Contact information
Practice address
1608 ROUTE 88 W, SUITE 102, BRICK, NJ 08724-3009
(732) 349-8454
(732) 349-0266
Mailing address
1608 ROUTE 88 W, SUITE 102, BRICK, NJ 08724-3009
(732) 349-8454
(732) 349-0266
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
MA59193
NJ
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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