Organization
MCBRIDE IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE GUGLIOTTA (MANAGING MEMBER)
(973) 837-8100
Entity
Organization
Contact information
Practice address
1167 MCBRIDE AVE, WOODLAND PARK, NJ 07424-2556
(201) 348-9225
Mailing address
1167 MCBRIDE AVE STE 3, WOODLAND PARK, NJ 07424-2543
(973) 837-8100
(973) 837-8100
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0418781
—
NJ
Enumeration date
02/28/2013
Last updated
05/18/2023
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