Diamond Imaging
Specialist in Wayne, NJ. Organization (NPI-2).
NPI number1982805446
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1982805446
- Entity type
- Organization (NPI-2)
- Legal business name
- Diamond Imaging
- Organization subpart
- No
- Enumeration date
- May 30, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
220 Hamburg Tpke21
Wayne, NJ 07470-2110
Phone 973-790-8090 · Fax 973-790-3198
Mailing address
Po Box 3093Clifton, NJ 07012-0393
Phone 973-458-0422 · Fax 973-458-0661
Authorized official
Annamaria Conklin
Credentialing Coordinator
9734580422
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