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General NPI Number Information
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NPI Number | 1366604639
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Entity Type | Organization
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Legal Business Name | HEALTH DIAGNOSTICS OF NEW JERSEY, LLC
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Dates
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Enumeration Date | 06/27/2008
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Last Update Date | 06/27/2008
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Provider Practice Location Address
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Address Line | 3499 ROUTE 9 NORTH JUNIPER PLAZA
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City | FREEHOLD
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State | NJ
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Zip | 07728-3258
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Country | US
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Telephone | 800-874-2281
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Fax | 732-494-5960
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Provider Business Mailing Address
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Address Line | 3840 PARK AVE SUITE C
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City | EDISON
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State | NJ
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Zip | 08820-2563
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Country | US
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Telephone | 732-494-9061
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Fax | 732-494-5571
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR OF OPERATIONS
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Name | MR. SWAPAN SEN
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Credential |
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Telephone | 732-494-9061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 22539
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License Number State | NJ
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