Organization
PROGRESSIVE X-RAY OF ENGLEWOOD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM FARRELL (MANAGING MEMBER)
(201) 541-5401
Entity
Organization
Contact information
Practice address
500 GRAND AVE, ENGLEWOOD, NJ 07631-4967
(201) 541-0440
Mailing address
PO BOX 785971, PHILADELPHIA, PA 19178-0001
(201) 541-0440
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
211313
NJ
Other
Enumeration date
03/30/2007
Last updated
06/21/2018
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