MEDICARE: RADIOLOGY CENTER AT HARDING INC

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

General Provider Information

NPI Number	:	1922167105
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RADIOLOGY CENTER AT HARDING INC

Provider Business Mailing Address
First Line	:	1201 MOUNT KEMBLE AVE
Second Line	:
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-6628
Country	:	US
Telephone Number	:	908-221-0603
Fax Number	:	908-221-0631

Provider Business Practice Location Address
First Line	:	1201 MOUNT KEMBLE AVE
Second Line	:
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-6628
Country	:	US
Telephone Number	:	908-221-0603
Fax Number	:	908-221-0631

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. PREETHAM PILLARISETTY
Credential	:
Telephone Number	:	803-673-6355

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	05/07/2024

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