Organization Name: | AMERICAN DIAGNOSTIC IMAGING OF NUTLEY |
NPI Number: | 1033466248 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANNY CHAUDHRY (PRESIDENT) |
Mailing Address: | 410 Centre St Nutley |
State: | NJ US |
Postal Code: | 071101635 |
Phone Number: | 9736612000 |
Fax Number: | 9736611116 |
NPI Enumeration Date: | 08/07/2012 |
NPI Last Update Date: | 08/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | 22787 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |