Organization · Type 2 NPI

Passaic County

Diagnostic Radiology Physician · Paterson, NJ

NPI number 1417048471 Active

Practice location

606 Broadway
Paterson, NJ 07514-1916

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X25MA03887500 (NJ)
Internal Medicine Physician 207R00000X25MA06761000 (NJ)
Internal Medicine Physician 207R00000X25MA04523300 (NJ)
Cardiovascular Disease Physician 207RC0000X25MA03585900 (NJ)
Pulmonary Disease Physician 207RP1001X25MA03585900 (NJ)
Diagnostic Radiology Physician 2085R0202X25MA07405000 (NJ)
Diagnostic Radiology Physician Primary 2085R0202X25MA02636900 (NJ)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

14 other providers at this address

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About NPI 1417048471

Passaic County's National Provider Identifier is 1417048471, issued on Sep 27, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Paterson, NJ. The record was last updated on Sep 11, 2025.