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General NPI Number Information
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NPI Number | 1598794463
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Entity Type | Organization
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Legal Business Name | RED BANK RADIOLOGISTS, PA
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 05/05/2023
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Provider Practice Location Address
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Address Line | 200 WHITE RD STE 115
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City | LITTLE SILVER
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State | NJ
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Zip | 07739-1160
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Country | US
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Telephone | 737-741-9595
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Fax | 737-741-0985
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Provider Business Mailing Address
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Address Line | 6 RIVERVIEW PLAZA
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City | RED BANK
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State | NJ
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Zip | 07701-0476
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Country | US
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Telephone | 732-747-1429
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Fax | 732-747-4778
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | ROBERT E WOLD
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Credential | MD
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Telephone | 732-741-9595
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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 | 101844
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License Number State | NJ
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Taxonomy #2
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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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