National Provider Identifier Database

ADVANCED RADIOLOGY OF MILLVILLE PA
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

ADVANCED RADIOLOGY OF MILLVILLE PA
1001 N HIGH STREET
MILLVILLE, NJ08332
Phone: 856-825-0005
Fax: 856-825-5576
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for ADVANCED RADIOLOGY OF MILLVILLE PA

NPI Number 1134191372
Legal business name
LBN
ADVANCED RADIOLOGY OF MILLVILLE PA
Authorized official FAZLOLLAH GOLESTANEH - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/02/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: 25MA03109900
  • NJ Medicaid: 2323206

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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