Organization
OPEN MRI AT WALL, L.L.C.
Active
Other names
Open Mri and Diagnostic Imaging of Wall
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL UNTERMAN M.D. (PRACTICE MANAGER)
(732) 974-8060
Entity
Organization
Contact information
Practice address
1975 STATE ROUTE 34, BLDG. D, WALL, NJ 07719-9750
(732) 974-8060
(732) 974-8820
Mailing address
1975 STATE ROUTE 34, BLDG. D, WALL, NJ 07719-9750
(732) 974-8060
(732) 974-8820
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
22832
NJ
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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