Organization Name: | MONTCLAIR BREAST CENTER PC |
NPI Number: | 1053367334 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NANCY L ELLIOTT (DIRECTOR MONTCLAIR BREAST CENTER PC) |
Mailing Address: | 37 No Fullerton Avenue Montclair Breast Center Pc Montclair |
State: | NJ US |
Postal Code: | 070423426 |
Phone Number: | 9735091818 |
Fax Number: | 9735090708 |
NPI Enumeration Date: | 05/26/2006 |
NPI Last Update Date: | 08/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |