Organization
MEDICAL DIVERSIFIED SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY- ANN MURRAY (MANAGER)
(732) 787-0468
Entity
Organization
Contact information
Practice address
196 HIGHWAY 36 E, NORTH MIDDLETOWN, NJ 07748-5258
(732) 787-4068
(732) 787-6032
Mailing address
PO BOX 442, PORT MONMOUTH, NJ 07758-0442
(732) 787-4068
(732) 787-0632
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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