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Contact Information

CLIFFSIDE PARK IMAGING AND DIAGNOSTIC CENTER, LLC
596 ANDERSON AVENUE
SUITE 120
CLIFFSIDE PARK, NJ07010
 Phone: 201-945-6747
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for CLIFFSIDE PARK IMAGING AND DIAGNOSTIC CENTER LLC · (Female)

NPI # 1104843689
Status Active
Credentials
Entity Individual
Enumeration date 07/17/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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