Organization Name: | FACIAL IMAGING OF NJ |
NPI Number: | 1376865477 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MIRAV KAPLAN (VICE PRESIDENT) |
Mailing Address: | 405 Gallya Grv Morganville |
State: | NJ US |
Postal Code: | 077514444 |
Phone Number: | 7325267008 |
Fax Number: | |
NPI Enumeration Date: | 02/17/2010 |
NPI Last Update Date: | 02/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471C3401X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Computed Tomography |
Taxonomy Definition: |