Cliffside Park Imaging And Diagnostic Center, LLC
Radiology, Diagnostic Radiology in Cliffside Park, NJ. Organization (NPI-2).
NPI number1104843689
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1104843689
- Entity type
- Organization (NPI-2)
- Legal business name
- Cliffside Park Imaging And Diagnostic Center, LLC
- Organization subpart
- No
- Enumeration date
- Jul 17, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | Yes |
Practice location
596 Anderson AvenueSuite 120
Cliffside Park, NJ 07010
Phone 201-945-6747
Mailing address
596 Anderson AvenueSuite 120
Cliffside Park, NJ 07010
Phone 201-945-6747
Authorized official
Michael Davit
Manager
2017248124
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