Whalio Doctors

NPI 1053497081

Progressive Medical Imaging of Bloomfield, LLC

Organisation Radiology Clinic/Center Bloomfield, NJ

Practice location

Address
1255 Broad Ave Suite 101, Bloomfield, NJ 07003
Phone
(973) 771-1140
Fax
(973) 771-1150
Mailing address
PO Box 785966, Philadelphia, PA 19178-0001

Authorised official

Name
William Farrell
Title
Managing Member
Phone
(201) 541-5401

Registered specialties

Radiology Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QR0200X Licence 23455 (NJ)

Registry record

NPI
1053497081
Entity type
Organization
NPI issued
31 Oct 2006
Record last updated
10 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.