Edison Medical Imaging
Radiology, Diagnostic Radiology in Edison, NJ. Organization (NPI-2).
NPI number1982240248
StatusActive
Last updated in NPPESJul 28, 2020
Details
- NPI
- 1982240248
- Entity type
- Organization (NPI-2)
- Legal business name
- Edison Medical Imaging
- Organization subpart
- No
- Enumeration date
- Nov 21, 2019
- Certification date
- Jul 28, 2020
- Last updated
- Jul 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | Yes |
Practice location
1907 Oak Tree Rd Ste 101Edison, NJ 08820-2070
Phone 732-243-9909 · Fax 800-310-8517
Mailing address
1907 Oak Tree RdEdison, NJ 08820-2070
Phone 732-243-9909 · Fax 800-310-8517
Authorized official
Taha A Siddiqui
Chief Operating Officer
7322439909
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