Organization Name: | HOBOKEN MRI, P.A. |
NPI Number: | 1023034063 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK JAY BERGER (DIRECTOR) |
Mailing Address: | 2 Hudson Pl First Floor Hoboken |
State: | NJ US |
Postal Code: | 070305594 |
Phone Number: | 2014180040 |
Fax Number: | 2014188510 |
NPI Enumeration Date: | 07/14/2006 |
NPI Last Update Date: | 09/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | 22536 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |