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NPI Code Detail

MEDICARE: PREFERRED ULTRASOUND CENTER

MEDICARE: PREFERRED ULTRASOUND CENTER
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
1261QR0200XRadiology Clinic/Center
2261QR0200XRadiology Clinic/CenterNJ

General Provider Information

NPI Number : 1467747105
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREFERRED ULTRASOUND CENTER
Provider Business Mailing Address
First Line : 225 WILLIAMSON ST
Second Line : ROOM 312
City : ELIZABETH
State : NJ
Zip : 07202-3625
Country : US
Telephone Number : 908-994-5197
Fax Number : 908-994-5742
Provider Business Practice Location Address
First Line : 65 JEFFERSON AVE
Second Line : 2ND FLOOR
City : ELIZABETH
State : NJ
Zip : 07201-2474
Country : US
Telephone Number : 908-994-5402
Fax Number : 908-558-0190
Authorized Official
Title or Position : MD
Name : DR. KAMRAN KHAZAI
Credential :
Telephone Number : 908-994-5197
Provider Enumeration Date : 06/10/2011
Last Update Date : 06/10/2011

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Directions to “PREFERRED ULTRASOUND CENTER ” Practice Location

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