Healthcare Provider Details

I. General information

NPI: 1407258692
Provider Name (Legal Business Name): H & D SONOGRAPHY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2014
Last Update Date: 12/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 BALDWIN RD SUITE 101 A
PARSIPPANY NJ
07054-2901
US

IV. Provider business mailing address

60 BALDWIN RD SUITE 101A
PARSIPPANY NJ
07054-2901
US

V. Phone/Fax

Practice location:
  • Phone: 973-794-1174
  • Fax: 973-866-0353
Mailing address:
  • Phone: 973-794-1174
  • Fax: 973-866-0353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code246XS1301X
TaxonomySonography Specialist/Technologist Cardiovascular
License Number
License Number StateNJ
# 5
Primary TaxonomyN
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number
License Number StateNJ
# 6
Primary TaxonomyN
Taxonomy Code2471V0105X
TaxonomyVascular Sonography Radiologic Technologist
License Number
License Number StateNJ
# 7
Primary TaxonomyN
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number StateNJ

VIII. Authorized Official

Name: MR. DIPEN V PATEL
Title or Position: PRESIDENT
Credential:
Phone: 973-794-1174