Organization
NBIMC DEPARTMENT OF RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARMAINE THOMAS (DIRECTOR)
(732) 557-7160
Entity
Organization
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(732) 557-7160
(732) 557-7109
Mailing address
PO BOX 785596, PHILADELPHIA, PA 19178-0001
(732) 557-7160
(732) 557-7109
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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