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Contact Information

MONTCLAIR RADIOLOGICAL ASSOC ,PA
20 HIGH ST
NUTLEY, NJ07110
 Phone: 973-284-0020
 Fax: 973-284-6310
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for MONTCLAIR RADIOLOGICAL ASSOC ,PA

NPI # 1194810531
LBN Legal business name MONTCLAIR RADIOLOGICAL ASSOC ,PA
Authorized official AMY LASZCZYNSKI - (ADMINISTRATIVE ASSISTANT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2006
Last updated 01/17/2023 - About 3 years ago
Identifiers
NJ License # 23399
NJ Medicaid 2608103
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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