Organization
CHATHAM MEDICAL RESOURCES, INC.
Active
Other names
Tri County Open MRI
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MAYER (VP, MANAGED CARE & CREDENTIALING)
(631) 952-5717
Entity
Organization
Contact information
Practice address
188 ROUTE 10 W, EAST HANOVER, NJ 07936
(973) 884-8881
(973) 884-8893
Mailing address
PO BOX 12417, HAUPPAUGE, NY 11788-0513
(973) 884-8881
(973) 884-8893
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
22406
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3338401
—
NJ
Enumeration date
11/14/2006
Last updated
08/22/2020
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