Montclair Breast Center PC

NPI #1053367334 in Montclair, New Jersey

Provider Information

NPI Number: 1053367334
Entity Type: Organization
Organization Name: Montclair Breast Center PC
Primary Specialty: Surgery
Enumeration Date: May 26, 2006
Last Updated: Sep 16, 2022

Practice Location

Address: 37 NO FULLERTON AVENUE
Address 2: MONTCLAIR BREAST CENTER PC
City: Montclair
State: New Jersey
ZIP Code: 07042-3426
Phone: (973) 509-1818

Authorized Official

Name: JACKIE L HERNANDEZ
Title: BILLING MANAGER
Phone: (862) 392-0022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Diagnostic Radiology — Diagnostic Radiology	2085R0202X
Radiology - Diagnostic Ultrasound — Diagnostic Ultrasound	2085U0001X
Surgery	208600000X	Primary

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