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General NPI Number Information
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NPI Number | 1477937191
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Entity Type | Organization
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Legal Business Name | ADVANCED DIGITAL IMAGING OF NEW JERSEY PC
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Dates
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Enumeration Date | 07/13/2015
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Last Update Date | 07/13/2015
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Provider Practice Location Address
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Address Line | 430 MEMORIAL PKWY SUITE 2
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-1573
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Country | US
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Telephone | 610-745-7634
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 MARLKRESS RD SUITE 102
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2334
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. HOWARD B. KESSLER
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Credential | M.D.
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Telephone | 610-745-7634
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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 |
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License Number State |
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