Organization
NEW JERSEY DIAGNOSTIC IMAGING & THERAPY, PA
Active
Other names
Monmouth Ocean 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
198 JACK MARTIN BLVD, A-3, BRICK, NJ 08724-7769
(732) 840-8300
(732) 840-6453
Mailing address
PO BOX 14068, HAUPPAUGE, NY 11788-0789
(732) 840-8300
(732) 840-6453
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
22234
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3387704
—
NJ
Enumeration date
11/13/2006
Last updated
08/22/2020
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