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Contact Information

ADVANCED RADIOLOGY OF CHERRY HILL PA
13 W ORMOND AVENUE
CHERRY HILL, NJ08002
 Phone: 856-616-9400
 Fax: 856-616-9107
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for ADVANCED RADIOLOGY OF CHERRY HILL PA

NPI # 1578536942
LBN Legal business name ADVANCED RADIOLOGY OF CHERRY HILL PA
Authorized official FAZLOLLAH GOLESTANEH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/08/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NJ License # 25MA03109900
NJ Medicaid 2323206
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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