Organization
RAYTEL MEDICAL IMAGING-WEST DEPTFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY M FLANEGIN (PRESIDENT)
(610) 831-1112
Entity
Organization
Contact information
Practice address
800 JESSUP RD, SUITE 806A, THOROFARE, NJ 08086-9354
(800) 367-1095
(860) 298-6127
Mailing address
PO BOX 548, WINDSOR, CT 06095-0548
(800) 367-1095
(860) 298-6127
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8708606
—
NJ
Enumeration date
11/08/2006
Last updated
08/30/2007
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