Organization · Type 2 NPI

Medical Diagnostic Associates, PA

Non-Pharmacy Dispensing Site · Summit, NJ

NPI number 1508128224 Active

Practice location

99 Beauvoir Ave
Summit, NJ 07901-3533

Call (908) 608-1504 Map

Fax (908) 608-0078

Mailing address

77 Brant Ave, Suite 200
Clark, NJ 07066-1560

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000X25MA06949800 (NJ)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

438 other providers at this address

About NPI 1508128224

Medical Diagnostic Associates, PA's National Provider Identifier is 1508128224, issued on Jun 8, 2012. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Summit, NJ. The record was last updated on Jun 12, 2012.