Organization Name: | NEW JERSEY INSTITUTE OF RADIOLOGY PC |
NPI Number: | 1316997893 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN H HAJJAR (CEO) |
Mailing Address: | 630 Broad Street Carlstadt |
State: | NJ US |
Postal Code: | 070720468 |
Phone Number: | 2013721020 |
Fax Number: | 2013721028 |
NPI Enumeration Date: | 05/12/2006 |
NPI Last Update Date: | 11/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085U0001X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Ultrasound |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |