MEDICARE: DEBRA E BYRNES

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	222222502	NJ

General Provider Information

NPI Number	:	1548111891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA E BYRNES

Provider Business Mailing Address
First Line	:	1226 TILTON RD
Second Line	:
City	:	NORTHFIELD
State	:	NJ
Zip	:	08225-1809
Country	:	US
Telephone Number	:	609-677-9729
Fax Number	:	609-383-0831

Provider Business Practice Location Address
First Line	:	1226 TILTON RD
Second Line	:
City	:	NORTHFIELD
State	:	NJ
Zip	:	08225-1809
Country	:	US
Telephone Number	:	609-677-9729
Fax Number	:	609-383-0831

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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