Healthcare Provider Details

I. General information

NPI: 1669425096
Provider Name (Legal Business Name): ASSOCIATED RADIOLOGISTS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 11/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 ROUTE 22 EAST SUITE 302
GREEN BROOK NJ
08812-1916
US

IV. Provider business mailing address

239 ROUTE 22 EAST , SUITE 302
GREEN BROOK NJ
08812-1916
US

V. Phone/Fax

Practice location:
  • Phone: 732-968-4899
  • Fax: 732-968-8096
Mailing address:
  • Phone: 908-769-1262
  • Fax: 908-279-7221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. PATRICK CASEY
Title or Position: BILLING MANAGER
Credential:
Phone: 732-968-1500