Garden State Diagnostic Imaging
Organization Active NPI Diagnostic Radiology Physician · Brown Mills, NJ
NPI 1861969388 · NPPES record last updated Feb 14, 2019
Key facts
- NPI
- 1861969388
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- GARDEN STATE DIAGNOSTIC IMAGING
- Practice address
- 6 Earlin Avenue
160
Brown Mills, NJ 08015 - Phone
- (609) 836-5319
- NPI assigned
- Nov 2, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Faisal M Shah, MD
- Title
- Radiologist
- Phone
- (201) 452-4485
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes | ||
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | |||
| Mammography Clinic/Center | 261QR0206X |
Addresses
Primary practice location
6 Earlin Avenue
160
Brown Mills, NJ 08015
Mailing address
6 Earlin Ave Ste 160
Browns Mills, NJ 08015-1768
Phone (609) 836-5313
Other providers in Brown Mills, NJ
All providers in Brown Mills, NJ · Diagnostic Radiology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.