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General NPI Number Information
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NPI Number | 1538196027
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Entity Type | Organization
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Legal Business Name | IMAGING CONSULTANTS OF ESSEX, P.A.
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 06/14/2016
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Provider Practice Location Address
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Address Line | 94 OLD SHORT HILLS RD DEPARTMENT OF RADIOLOGY
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5672
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Country | US
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Telephone | 973-322-5800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3247
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City | INDIANAPOLIS
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State | IN
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Zip | 46206-3247
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Country | US
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Telephone | 844-295-4876
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | CORNELIUS S. MCCARTHY
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Credential | MD
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Telephone | 973-322-5800
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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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