MEDICARE: CAPITOL MRI PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	22621	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255308607
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPITOL MRI PA

Provider Business Mailing Address
First Line	:	2000 S BROAD ST
Second Line	:
City	:	HAMILTON
State	:	NJ
Zip	:	08610-6006
Country	:	US
Telephone Number	:	609-695-0085
Fax Number	:	609-695-4289

Provider Business Practice Location Address
First Line	:	2000 S BROAD ST
Second Line	:
City	:	HAMILTON
State	:	NJ
Zip	:	08610-6006
Country	:	US
Telephone Number	:	609-695-0085
Fax Number	:	609-695-4289

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	AHSAN U ZAFAR
Credential	:	MD,DO
Telephone Number	:	609-695-0085

Provider Enumeration Date	:	03/03/2006
Last Update Date	:	04/06/2018

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Directions to “CAPITOL MRI PA ” Practice Location

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