| Premier Pet Imaging Of New Jersey Inc. | |
|
119 Cherry Hill Rd Suite 100 Parsippany NJ 07054-1117 | |
| (973) 394-0455 | |
| (973) 394-0456 |
| Full Name | Premier Pet Imaging Of New Jersey Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 119 Cherry Hill Rd, Parsippany, New Jersey |
| Authorized Official Name and Position | George Mahoney (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5614470046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Pet Imaging Of New Jersey Inc. Po Box 343 Wichita KS 67201-0343 Ph: (316) 262-2015 | Premier Pet Imaging Of New Jersey Inc. 119 Cherry Hill Rd Suite 100 Parsippany NJ 07054-1117 Ph: (973) 394-0455 |
| NPI Number | 1215992953 |
|---|---|
| Provider Enumeration Date | 04/18/2006 |
| Last Update Date | 10/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215992953 | NPI | - | NPPES |
| 0052370 | Medicaid | NJ | |
| P00105394 | Other | NJ | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 261Q00000X (New Jersey) | Primary |
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