Healthcare Provider Details

I. General information

NPI: 1518158674
Provider Name (Legal Business Name): ULTRASOUND ASSOCIATES INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2007
Last Update Date: 08/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 SCENIC DR SUITE 6
FREEHOLD NJ
07728-5210
US

IV. Provider business mailing address

1700 RIVIERA CT
POINT PLEASANT BORO NJ
08742-5241
US

V. Phone/Fax

Practice location:
  • Phone: 732-899-9940
  • Fax: 732-899-9941
Mailing address:
  • Phone: 732-899-9940
  • Fax: 732-899-9941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number
License Number State

VIII. Authorized Official

Name: MS. MARY BETH TKACH
Title or Position: OWNER
Credential:
Phone: 732-899-9940