Organization
LOURDES IMAGING ASSOCIATES PA
Active
Organization
LOURDES IMAGING ASSOCIATES PA
Active
Other names
PA
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH BENJAMIN BROUDY MD (PRESIDENT)
(330) 412-3057
Entity
Organization
Contact information
Practice address
1600 HADDON AVENUE, CAMDEN, NJ 08103-3117
(330) 412-3057
Mailing address
PO BOX 31037, NEWARK, NJ 07101
(614) 689-1691
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7224702
—
NJ
Enumeration date
07/03/2006
Last updated
08/23/2024
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