Organization Name: | UNIVERSITY RADIOLOGY TEANECK, LLC |
NPI Number: | 1104243377 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | S. THOMAS DUNLAP (CEO) |
Mailing Address: | 699 Teaneck Rd Teaneck |
State: | NJ US |
Postal Code: | 076664244 |
Phone Number: | 2018362500 |
Fax Number: | 7323901856 |
NPI Enumeration Date: | 03/25/2014 |
NPI Last Update Date: | 03/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |