Montclair Breast Center Pc
LBN: Montclair Breast Center Pc
Montclair Breast Center Pc is an health care organization with primary practice located at 37 No Fullerton Avenue Montclair Breast Center Pc, Montclair NJ 07042-3426. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty.
Montclair Breast Center Pc can be contacted via phone (973) 509-1818, or through Hernandez, Jackie L via phone (862) 392-0022.
Contact Information
Primary practice address
37 No Fullerton Avenue Montclair Breast Center Pc
Montclair NJ 07042-3426
Phone: (973) 509-1818
Fax: (973) 509-0708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | New Jersey | |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | New Jersey | |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | New Jersey |
Profile Details
| NPI number | 1053367334 |
|---|---|
| LBN Legal business name | Montclair Breast Center Pc |
| DBA Doing business as | |
| Authorized official | Hernandez, Jackie L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Sep 16th, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053367334 | NPPES |
| New Jersey | Other | 23317 | FDA MRI |
| New Jersey | Other | 126219 | FDA MRI |
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