| Organization Name: | COMMUNITY RADIOLOGY, P.A. |
| NPI Number: | 1720085640 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RESA CHERRY (MANAGER) |
| Mailing Address: | 434 New Jersey Ave Absecon |
| State: | NJ US |
| Postal Code: | 082012423 |
| Phone Number: | 6093830500 |
| Fax Number: | 6093830376 |
| NPI Enumeration Date: | 07/07/2005 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | 22514 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |