Organization
BREAST IMAGING PARTNERS, PC
Active
Organization
BREAST IMAGING PARTNERS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA BENIQUEZ PACHECO (CREDENTIALING SUPERVISOR)
(201) 833-3599
Entity
Organization
Contact information
Practice address
718 TEANECK ROAD, TEANECK, NJ 07666-4245
(201) 833-7100
(201) 833-7248
Mailing address
3 UNIVERSITY PLZ STE 205, HACKENSACK, NJ 07601-6208
(201) 833-3599
(201) 227-6207
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01084527
—
NJ
01
—
DG9649
RR MEDICARE PTAN
—
Enumeration date
04/24/2007
Last updated
05/08/2024
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