In Her Image- West Caldwell, LLC
NPI #1235375643 in West Caldwell, New Jersey
Provider Information
- NPI Number
- 1235375643
- Entity Type
- Organization
- Organization Name
- In Her Image- West Caldwell, LLC
- Primary Specialty
- Clinic/Center - Radiology, Mammography
- Enumeration Date
- Jan 7, 2009
- Last Updated
- Jan 7, 2009
Practice Location
- Address
- 555 PASSAIC AVE
- City
- West Caldwell
- State
- New Jersey
- ZIP Code
- 07006-7475
- Phone
- (973) 467-9631
Authorized Official
- Name
- MR. RICHARD LEVINSON
- Title
- PRACTICE ADMINISTRATOR
- Phone
- (201) 247-3927
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology, Mammography — Radiology, Mammography |
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