THE CONNIE DWYER BREAST CENTER NPI 1386772226

NPI Information

NPI: 1386772226
Provider Name: THE CONNIE DWYER BREAST CENTER
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
111 CENTRAL AVE
NEWARK, NJ
ZIP 07102
Phone: (973) 877-5189
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THE CONNIE DWYER BREAST CENTER is a diagnostic radiology radiology in Newark, NJ. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. THE CONNIE DWYER BREAST CENTER NPI is 1386772226. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

111 CENTRAL AVE
NEWARK, NJ
ZIP 07102-909
Phone: (973) 877-5189
Fax: (973) 877-5205

The provider's authorized official is Linda Harper .
The authorized official title is Billing Representative and has the following contact phone number (201) 996-4053.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	25MA02784400	NEW JERSEY	Yes
2	208600000X	Surgery		25MA07666200	NEW JERSEY	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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