Healthcare Provider Details

I. General information

NPI: 1043207855
Provider Name (Legal Business Name): WEST MORRIS IMAGING P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2005
Last Update Date: 12/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 SUNSET STRIP SUITE 105 MRI OF WEST MORRIS
SUCCASUNNA NJ
07876
US

IV. Provider business mailing address

66 SUNSET STRIP SUITE 105 MRI OF WEST MORRIS
SUCCASUNNA NJ
07876
US

V. Phone/Fax

Practice location:
  • Phone: 973-927-1010
  • Fax: 972-927-7273
Mailing address:
  • Phone: 973-927-1010
  • Fax: 972-927-7273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number23305
License Number StateNJ

VIII. Authorized Official

Name: JEFFREY WEXLER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 973-927-1010