Healthcare Provider Details

I. General information

NPI: 1972592194
Provider Name (Legal Business Name): CAPE MAY COUNTY RADIOLOGY, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4011 ROUTE 9 S
RIO GRANDE NJ
08242-1911
US

IV. Provider business mailing address

4011 ROUTE 9 S
RIO GRANDE NJ
08242-1911
US

V. Phone/Fax

Practice location:
  • Phone: 609-886-0100
  • Fax: 609-886-0235
Mailing address:
  • Phone: 609-886-0100
  • Fax: 609-886-0235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number StateNJ

VIII. Authorized Official

Name: SHERI PATITUCCI
Title or Position: OFFICE MANAGER
Credential:
Phone: 609-886-2258