Organization
SUPERIOR MEDICAL DIAGNOSTICS II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA A. GAGLIANO RT CXT (ADMINISTRATOR)
(973) 235-9090
Entity
Organization
Contact information
Practice address
235 FRANLIN AVENUE, NUTLEY, NJ 07110
(973) 235-9090
(973) 235-0795
Mailing address
235 FRANLIN AVENUE, NUTLEY, NJ 07110
(973) 235-9090
(973) 235-0795
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
22755
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9122907
—
NJ
Enumeration date
07/12/2006
Last updated
08/22/2020
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