Healthcare Provider Details

I. General information

NPI: 1174950976
Provider Name (Legal Business Name): ROCHELLE PARK MEDICAL IMAGING PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2013
Last Update Date: 10/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 ROCHELLE AVE
ROCHELLE PARK NJ
07662-3914
US

IV. Provider business mailing address

251 ROCHELLE AVE
ROCHELLE PARK NJ
07662-3914
US

V. Phone/Fax

Practice location:
  • Phone: 201-291-8800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: DR. STEPHEN J CONTE
Title or Position: CEO
Credential: D.O.
Phone: 201-887-0187