| Organization Name: | BERGEN OPEN MRI & DIAGNOSTIC IMAGING INC |
| NPI Number: | 1043344542 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIM O'BRIEN (BILLING MANAGER) |
| Mailing Address: | 1 W Ridgewood Ave Paramus |
| State: | NJ US |
| Postal Code: | 076522359 |
| Phone Number: | 2016521213 |
| Fax Number: | 2016520599 |
| NPI Enumeration Date: | 03/15/2007 |
| NPI Last Update Date: | 11/05/2008 |
| 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: | |