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Organization

ADVANCED DIAGNOSTIC IMAGING OF NEW JERSEY INC

Active
Other names
OPEN MRI 17
Organization subpart
No

Provider details

NPI number
Authorized official
FAHAD SIDDIQUI (MANAGER)
(973) 349-0447
Entity
Organization

Contact information

Practice address
34 N RTE 17, PARAMUS, NJ 07652-2727
(973) 349-0447
Mailing address
34 N RTE 17, PARAMUS, NJ 07652-2727
(973) 349-0447

Taxonomy

Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22548
AMBULATORY CARE FACILITY LICENSE
NJ
Enumeration date
05/11/2023
Last updated
05/11/2023
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