Organization
EDISON IMAGING ASSOCIATES, PA
Active
Other names
DBA Advanced Medical Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN PARKER MD (DIRECTOR)
(908) 668-0304
Entity
Organization
Contact information
Practice address
3548 US HIGHWAY 9, OLD BRIDGE, NJ 08857-2765
(908) 668-0304
(908) 668-0503
Mailing address
PO BOX 2126, EDISON, NJ 08818-2126
(908) 668-0304
(908) 668-0503
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3402606
—
NJ
Enumeration date
02/23/2007
Last updated
08/22/2020
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