Provider Demographics
NPI:1063670537
Name:HUDSON RADIOLOGY CENTER OF NJ CORP
Entity type:Organization
Organization Name:HUDSON RADIOLOGY CENTER OF NJ CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUDHRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-242-5600
Mailing Address - Street 1:657 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-4710
Mailing Address - Country:US
Mailing Address - Phone:973-242-5600
Mailing Address - Fax:973-242-4277
Practice Address - Street 1:657 BROADWAY
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-4710
Practice Address - Country:US
Practice Address - Phone:973-242-5600
Practice Address - Fax:973-242-4277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty