Organization
RIDGEFIELD IMAGING CENTER INC.
Active
Other names
Ridgefield
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERT LEE (PRESIDENT)
(201) 945-3410
Entity
Organization
Contact information
Practice address
669 BROAD AVE, SUITE 103, RIDGEFIELD, NJ 07657-1637
(201) 945-3410
(201) 945-4438
Mailing address
669 BROAD AVE, SUITE 103, RIDGEFIELD, NJ 07657-1637
(201) 945-3410
(201) 945-4438
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
22596
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22596
STATE LICENSE
NJ
05
—
7767501
—
NJ
Enumeration date
08/31/2006
Last updated
11/05/2008
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