Jackson Village Imaging, LLC
NPI #1699163527 in Jackson, New Jersey
Provider Information
- NPI Number
- 1699163527
- Entity Type
- Organization
- Organization Name
- Jackson Village Imaging, LLC
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Dec 30, 2014
- Last Updated
- Dec 30, 2014
Practice Location
- Address
- 27 S COOKS BRIDGE RD
- City
- Jackson
- State
- New Jersey
- ZIP Code
- 08527-2524
- Phone
- (732) 671-6618
Authorized Official
- Name
- WILLIAM PERRY BAKER
- Title
- SECRETARY/CFO
- Phone
- (615) 550-6049
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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