Organization
WAYNE VALLEY IMAGING
Active
Organization
WAYNE VALLEY IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD JIMENEZ (PRESIDENT)
(800) 927-0002
Entity
Organization
Contact information
Practice address
504 VALLEY RD, WAYNE, NJ 07470-3534
(973) 429-6000
Mailing address
91 STILES RD, SALEM, NH 03079-2846
(603) 893-9784
(603) 893-8886
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NJ
Enumeration date
10/30/2008
Last updated
10/30/2008
Update your record
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