=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528220431
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FOX IMAGES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/01/2008
-----------------------------------------------------
Last Update Date | 07/01/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 18 RISK AVE
-----------------------------------------------------
City | SUMMIT
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07901-1106
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 191-769-8225
-----------------------------------------------------
Fax | 190-827-3606
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 18 RISK AVE
-----------------------------------------------------
City | SUMMIT
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07901-1106
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 191-769-8225
-----------------------------------------------------
Fax | 190-827-3606
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VICE PRESIDENT
-----------------------------------------------------
Name | ARKADY FINKEL
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 12158702341
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2085U0001X
-----------------------------------------------------
Taxonomy Name | Diagnostic Ultrasound Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------