| Organization Name: | PALISADES RADIOLOGY ASSOCIATES |
| NPI Number: | 1124057773 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT S PORT (CHAIRMAN OF RADIOLOGY) |
| Mailing Address: | 7600 River Road North Bergen |
| State: | NJ US |
| Postal Code: | 07047 |
| Phone Number: | 8566168100 |
| Fax Number: | 8566161919 |
| NPI Enumeration Date: | 07/03/2006 |
| NPI Last Update Date: | 01/02/2008 |
| 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: | |