Organization Name: | SUMMIT RADIOLOGICAL ASSOCIATES, P.A. |
NPI Number: | 1487794350 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMIR SALOMON (PRESIDENT) |
Mailing Address: | 1811 Springfield Ave New Providence |
State: | NJ US |
Postal Code: | 079741041 |
Phone Number: | 9085229111 |
Fax Number: | 9085220066 |
NPI Enumeration Date: | 02/08/2007 |
NPI Last Update Date: | 07/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | 25MA |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NH |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |