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Organization

RADIOLOGY ADVANTAGE NEW JERSEY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(954) 838-2371
Entity
Organization

Contact information

Practice address
52 MAIN ST, BEDFORD HILLS, NY 10507-1814
(914) 666-2220
Mailing address
13737 NOEL RD, #1600, DALLAS, TX 75240-1331
(954) 838-2371

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
NJ
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
NJ
2085N0700X
Neuroradiology Physician
NJ
2085N0904X
Nuclear Radiology Physician
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
NJ
2085R0204X
Vascular & Interventional Radiology Physician
NJ
2085R0205X
Radiological Physics Physician
NJ
2085U0001X
Diagnostic Ultrasound Physician
NJ

Other

Enumeration date
04/20/2015
Last updated
09/17/2019
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