Organization
DIAMOND IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNAMARIA CONKLIN (CREDENTIALING COORDINATOR)
(973) 458-0422
Entity
Organization
Contact information
Practice address
220 HAMBURG TPKE, 21, WAYNE, NJ 07470-2110
(973) 790-8090
(973) 790-3198
Mailing address
PO BOX 3093, CLIFTON, NJ 07012-0393
(973) 458-0422
(973) 458-0661
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
08/22/2020
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