Organization Name: | PASCACK VALLEY IMAGING ASSOCIATES |
NPI Number: | 1083834584 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STAN SMORRA (FACILITY MANAGER) |
Mailing Address: | 270 Old Hook Rd Westwood |
State: | NJ US |
Postal Code: | 076753117 |
Phone Number: | 2013586774 |
Fax Number: | 2013581140 |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
Taxonomy Definition: |