New Jersey Breast Diagnostic Center, PA
NPI #1477502078 in Ridgewood, New Jersey
Provider Information
- NPI Number
- 1477502078
- Entity Type
- Organization
- Organization Name
- New Jersey Breast Diagnostic Center, PA
- Primary Specialty
- Specialist
- Enumeration Date
- May 9, 2006
- Last Updated
- May 13, 2008
Practice Location
- Address
- 145 PROSPECT ST
- City
- Ridgewood
- State
- New Jersey
- ZIP Code
- 07450-4493
- Phone
- (201) 444-4412
Authorized Official
- Name
- DR. BERTRAM ALLEN WEISS, MD
- Title
- OWNER
- Phone
- (201) 444-4412
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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