| Organization Name: | ADVANCED RADIOLOGY OF HADDONFIELD PA |
| NPI Number: | 1033181458 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FAZLOLLAH GOLESTANEH (PRESIDENT) |
| Mailing Address: | 66 Tanner St Haddonfield |
| State: | NJ US |
| Postal Code: | 08033 |
| Phone Number: | 8562160294 |
| Fax Number: | 8562160299 |
| NPI Enumeration Date: | 02/02/2006 |
| NPI Last Update Date: | 02/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |