Organization
MYRON MEDICAL IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE BUABENG (OWNER)
(973) 207-1828
Entity
Organization
Contact information
Practice address
218 N 10TH ST, KENILWORTH, NJ 07033-1152
(973) 207-1828
Mailing address
218 N 10TH ST, KENILWORTH, NJ 07033-1152
(973) 207-1828
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
25MA04036000
NJ
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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