MEDICARE: IMAGING ASSOCIATES, 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
1	2085R0202X	Diagnostic Radiology Physician		NJ

General Provider Information

NPI Number	:	1194033019
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMAGING ASSOCIATES, PA

Provider Business Mailing Address
First Line	:	1201 MOUNT KEMBLE AVE
Second Line	:	ROUTE 202
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-6667
Country	:	US
Telephone Number	:	908-221-0603
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 MOUNT KEMBLE AVE
Second Line	:	ROUTE 202
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-6667
Country	:	US
Telephone Number	:	908-221-0603
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & MEDICAL DIRECTOR
Name	:	DR. ARTHUR S. WEISEL
Credential	:	M.D.
Telephone Number	:	201-441-5945

Provider Enumeration Date	:	09/14/2010
Last Update Date	:	09/14/2010

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