ADVANCED RADIOLOGY OF MILLVILLE PA; NPI #1245392596

Contact Information

ADVANCED RADIOLOGY OF MILLVILLE PA

1001 N HIGH STREET
MILLVILLE, NJ 08332

Phone: 856-825-0005
Fax: 856-825-5576
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology

Indicates primary specialty

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NPI Profile & details for ADVANCED RADIOLOGY OF MILLVILLE PA

NPI # 1245392596

LBN Legal business name ADVANCED RADIOLOGY OF MILLVILLE PA

Authorized official FAZLOLLAH GOLESTANEH - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/14/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

NJ	License #	25MA03109900
NJ	Medicaid	5390702

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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ADVANCED RADIOLOGY OF MILLVILLE PA

Contact Information

Specialty

Diagnostic Radiology

NPI Profile & details for ADVANCED RADIOLOGY OF MILLVILLE PA

Reviews for ADVANCED RADIOLOGY OF MILLVILLE PA