| Organization Name: | MRI OF WOODBRIDGE LLC |
| NPI Number: | 1003872953 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEO FONTANA (MEDICAL DIRECTOR) |
| Mailing Address: | 1500 Saint Georges Ave Avenel |
| State: | NJ US |
| Postal Code: | 070011000 |
| Phone Number: | 7325740742 |
| Fax Number: | 7325740143 |
| NPI Enumeration Date: | 04/20/2006 |
| NPI Last Update Date: | 05/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1200X |
| License Number: | 22624 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
| Taxonomy Definition: | |