Healthcare Provider Details

I. General information

NPI: 1578622627
Provider Name (Legal Business Name): PHYSICIAN INTERPRETATIONS OF NEW JERSEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 MADISON AVE SUITE B
MOUNT HOLLY NJ
08060-2043
US

IV. Provider business mailing address

23 CANDLEWYCK WAY
CHERRY HILL NJ
08003-1226
US

V. Phone/Fax

Practice location:
  • Phone: 609-702-0589
  • Fax:
Mailing address:
  • Phone: 856-424-3045
  • Fax: 856-424-6084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. TOM CONA II
Title or Position: PRESIDENT
Credential:
Phone: 856-424-3045