Organization
PREMIER IMAGING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASANDRA AUTRY M.D. (DIRECTOR)
(732) 308-2255
Entity
Organization
Contact information
Practice address
900 W MAIN ST, SUITE 3, FREEHOLD, NJ 07728-2523
(732) 308-2255
(732) 308-0081
Mailing address
900 W MAIN ST, SUITE 3, FREEHOLD, NJ 07728-2523
(732) 308-2255
(732) 308-0081
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
25MA06928800
NJ
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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