Organization Name: | NORTH JERSEY ORTHOPAEDIC SPECIALISTS MRI |
NPI Number: | 1043534456 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEN F LEE (VICE PRESIDENT) |
Mailing Address: | 730 Palisade Ave Teaneck |
State: | NJ US |
Postal Code: | 076663144 |
Phone Number: | 2015301004 |
Fax Number: | 2015300002 |
NPI Enumeration Date: | 03/15/2010 |
NPI Last Update Date: | 03/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1200X |
License Number: | 24301 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
Taxonomy Definition: |