| Consolidated Diagnostic And Imaging Pc | |
|
81 Northfield Ave Ste 102 West Orange NJ 07052-5338 | |
| (973) 736-2600 | |
| (973) 736-8355 |
| Full Name | Consolidated Diagnostic And Imaging Pc |
|---|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 81 Northfield Ave Ste 102, West Orange, New Jersey |
| Authorized Official Name and Position | Iftekhar Kadri (OWNER) |
| Authorized Official Contact | 9739129195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Consolidated Diagnostic And Imaging Pc 15 Chapel Hill Rd Short Hills NJ 07078-1211 Ph: (973) 912-9195 | Consolidated Diagnostic And Imaging Pc 81 Northfield Ave Ste 102 West Orange NJ 07052-5338 Ph: (973) 736-2600 |
| NPI Number | 1487814885 |
|---|---|
| Provider Enumeration Date | 06/10/2008 |
| Last Update Date | 06/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487814885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 43002 (New Jersey) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 43002 (New Jersey) | Primary |
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