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NPI Code Detail

MEDICARE: ROCHELLE PARK MEDICAL IMAGING PA

MEDICARE: ROCHELLE PARK MEDICAL IMAGING PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician

General Provider Information

NPI Number : 1174950976
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROCHELLE PARK MEDICAL IMAGING PA
Provider Business Mailing Address
First Line : 251 ROCHELLE AVE
Second Line :
City : ROCHELLE PARK
State : NJ
Zip : 07662-3914
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 251 ROCHELLE AVE
Second Line :
City : ROCHELLE PARK
State : NJ
Zip : 07662-3914
Country : US
Telephone Number : 201-291-8800
Fax Number :
Authorized Official
Title or Position : CEO
Name : DR. STEPHEN J CONTE
Credential : D.O.
Telephone Number : 201-887-0187
Provider Enumeration Date : 10/11/2013
Last Update Date : 10/11/2013

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Directions to “ROCHELLE PARK MEDICAL IMAGING PA ” Practice Location

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