Organization Name: | GARDEN STATE UROLOGY LLC |
NPI Number: | 1629231766 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEANMARIE FALCO (COO) |
Mailing Address: | 16 Eden Ln Whippany |
State: | NJ US |
Postal Code: | 079811402 |
Phone Number: | 9732402181 |
Fax Number: | 9739479064 |
NPI Enumeration Date: | 07/09/2008 |
NPI Last Update Date: | 02/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0001X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Radiation Oncology |
Taxonomy Definition: | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |