Organization
MERCER DIAGNOSTIC IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAZISH N KHAN (CEO)
(215) 990-9336
Entity
Organization
Contact information
Practice address
1245 WHITEHORSE MERCERVILLE RD STE 403, HAMILTON, NJ 08619-3831
(609) 581-2727
Mailing address
1245 WHITEHORSE MERCERVILLE RD STE 403, HAMILTON, NJ 08619-3831
(609) 581-2727
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0450465869
STATE OF NEW JERSEY
NJ
Enumeration date
03/13/2020
Last updated
08/24/2020
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