Provider Demographics
NPI:1730394503
Name:RADIOLOGIC ASSOCIATES OF NORTHERN NEW JERSEY
Entity type:Organization
Organization Name:RADIOLOGIC ASSOCIATES OF NORTHERN NEW JERSEY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RADIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ORLANDO
Authorized Official - Middle Name:C
Authorized Official - Last Name:CORDERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-729-0002
Mailing Address - Street 1:222 HIGH ST
Mailing Address - Street 2:STE 101
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-9604
Mailing Address - Country:US
Mailing Address - Phone:973-383-1280
Mailing Address - Fax:973-383-2774
Practice Address - Street 1:222 HIGH ST
Practice Address - Street 2:STE 101
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-9604
Practice Address - Country:US
Practice Address - Phone:973-383-1280
Practice Address - Fax:973-383-2774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiologyGroup - Multi-Specialty