is a Diagnostic Radiology in Galloway, New Jersey. practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for is 1619089620. The last update date is .
's current location address is 72 W Jimmie Leeds Rd, Galloway, New Jersey. You can contact this provider via phone number 6096779729 and fax number 6096527153. The mailing address for is 72 W Jimmie Leeds Rd, Galloway, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 72 W Jimmie Leeds Rd, Galloway, New Jersey |
| Phone Number | 6096779729 |
| Fax Number | 6096527153 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1619089620 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 72 W Jimmie Leeds Rd |
|---|---|
| City | Galloway |
| State | New Jersey (NJ) |
| Post Code | 82059406 |
| Phone Number | 6096779729 |
| Fax Number | 6096527153 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 25MA07565500 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00042009 | NJ | RAILROAD MEDICARE | |
| 2950 | NJ | -- | |
| P00847817 | NJ | RAILROAD MEDICARE | |
| P00793717 | NJ | RAILROAD MEDICARE |
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