Carisk Imaging Ipa, LLC
NPI #1902142151 in Florham Park, New Jersey
Provider Information
- NPI Number
- 1902142151
- Entity Type
- Organization
- Organization Name
- Carisk Imaging Ipa, LLC
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Dec 17, 2012
- Last Updated
- Jun 22, 2021
Practice Location
- Address
- 25A HANOVER RD STE 201
- City
- Florham Park
- State
- New Jersey
- ZIP Code
- 07932-1407
- Phone
- (973) 451-9415
Authorized Official
- Name
- MR. KEVIN M MAHONEY
- Title
- PRESIDENT
- Phone
- (770) 865-3222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
| Exclusive Provider Organization |
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