MILLBURN MEDICAL IMAGING, PA
Radiology at Millburn Ave, Maplewood, NJ

License number
New Jersey 22950
Category
Radiology
Type
Diagnostic Radiology
Owner
Name: KENNETH NESHIBAL
Title: AUTHORIZED OFFICIAL
Phone: (973) 912-0404
Address
Address
2130 Millburn Ave, Maplewood, NJ 07040
National Provider ID: 1356396873
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MILLBURN MEDICAL IMAGING, PA

Maplewood, NJ

Registration:
Jul 5, 1990
State ID:
0100456357
Business type:
PA

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