| Organization Name: | RADIOLOGY ASSOCIATES OF RIDGEWOOD, PA |
| NPI Number: | 1336136662 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDWARD LUBAT (PRESIDENT) |
| Mailing Address: | 20 Franklin Tpke Waldwick |
| State: | NJ US |
| Postal Code: | 074631749 |
| Phone Number: | 2014458822 |
| Fax Number: | 2014477058 |
| NPI Enumeration Date: | 10/03/2005 |
| NPI Last Update Date: | 01/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0206X |
| License Number: | 22688 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mammography |
| Taxonomy Definition: | |