Provider First Line Business Practice Location Address:
NEW JERSEY INSTITUTE OF RADIOLOGY
Provider Second Line Business Practice Location Address:
630 BROAD STREET
Provider Business Practice Location Address City Name:
CARLSTADT
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07072-0468
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-372-1020
Provider Business Practice Location Address Fax Number:
201-372-1028
Provider Enumeration Date:
05/12/2006