Organization Name: | STELTON RADIOLOGY CORP |
NPI Number: | 1043647365 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DMITRIY STOLYAR (PRESIDENT) |
Mailing Address: | 1092 Stelton Rd Piscataway |
State: | NJ US |
Postal Code: | 088545201 |
Phone Number: | 7322878747 |
Fax Number: | |
NPI Enumeration Date: | 10/01/2013 |
NPI Last Update Date: | 10/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | 22578 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |