| Organization Name: | MASKER RADIOLOGY, LLC |
| NPI Number: | 1053629766 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALLYSON MILLER (COORDINATOR) |
| Mailing Address: | 29 E 29th St Bayonne |
| State: | NJ US |
| Postal Code: | 070024654 |
| Phone Number: | 2013392669 |
| Fax Number: | 2018584399 |
| NPI Enumeration Date: | 09/15/2010 |
| NPI Last Update Date: | 09/15/2010 |
| 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: | |