Advanced Maxillofacial Imaging Services
NPI #1134411150 in Tinton Falls, New Jersey
Provider Information
- NPI Number
- 1134411150
- Entity Type
- Organization
- Organization Name
- Advanced Maxillofacial Imaging Services
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- May 10, 2011
- Last Updated
- May 10, 2011
Practice Location
- Address
- 21 N GILBERT ST
- City
- Tinton Falls
- State
- New Jersey
- ZIP Code
- 07701-4950
- Phone
- (732) 747-0993
Authorized Official
- Name
- DR. GARY BROUSELL
- Title
- OWNER
- Phone
- (732) 747-0993
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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