MEDICARE: CAPE MAY COUNTY RADIOLOGY, 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	261QR0200X	Radiology Clinic/Center		NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CL6961	OTHER	NJ	RAILROAD MEDICARE

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	:	1972592194
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPE MAY COUNTY RADIOLOGY, PA

Provider Business Mailing Address
First Line	:	4011 ROUTE 9 S
Second Line	:
City	:	RIO GRANDE
State	:	NJ
Zip	:	08242-1911
Country	:	US
Telephone Number	:	609-886-0100
Fax Number	:	609-886-0235

Provider Business Practice Location Address
First Line	:	4011 ROUTE 9 S
Second Line	:
City	:	RIO GRANDE
State	:	NJ
Zip	:	08242-1911
Country	:	US
Telephone Number	:	609-886-0100
Fax Number	:	609-886-0235

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	SHERI PATITUCCI
Credential	:
Telephone Number	:	609-886-2258

Provider Enumeration Date	:	10/20/2005
Last Update Date	:	07/21/2022

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Directions to “CAPE MAY COUNTY RADIOLOGY, PA ” Practice Location

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