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General NPI Number Information
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NPI Number | 1760513303
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Entity Type | Organization
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Legal Business Name | MEDI-IMAGING
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 111 MULBERRY ST SUITE 1R
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City | NEWARK
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State | NJ
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Zip | 07102-4008
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Country | US
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Telephone | 973-493-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 111 MULBERRY ST SUITE 1R
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City | NEWARK
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State | NJ
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Zip | 07102-4008
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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 | BILLING MANAGER
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Name | MR. DON ANTHONY PALMIERY
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Credential |
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Telephone | 973-493-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MA066725
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | MA040538
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License Number State | NJ
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