person
Mr. Jose Luis Ferreira SR., RT
Radiography Radiologic Technologist in Kenilworth, New Jersey
NPI 1063470920

Jose Luis Ferreira SR. is a Radiography Radiologic Technologist based in Union, NJ and is specialized in Radiography. Jose Luis Ferreira SR. practices in Kenilworth, NJ and has the professional credentials of RT. The NPI Number for Jose Luis Ferreira SR. is 1063470920 and holds a License No. 626344 (New Jersey).

The current practice location address for Jose Luis Ferreira SR. is 18 S Michigan Ave, Kenilworth, NJ and can be reached out via phone at 908-623-0121 and via fax at 866-498-0867.

Location: 18 S Michigan Ave, Kenilworth, NJ, 07083-2092
person
Provider Profile Details
NPI Number
1063470920
Provider Name
Jose Luis Ferreira SR.
Credential
RT
Provider Entity Type
Individual
Gender
Male
Address
18 S Michigan Ave, Kenilworth, NJ, 07083-2092
Phone Number
908-623-0121
Fax Number
866-498-0867
Provider Enumeration Date
05/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0064432 05 NJ
institution
Provider Business Practice Location Address Details
Address
18 S Michigan Ave
City
State
Zip
07033-1708
Phone Number
908-623-0121
Fax Number
866-498-0867
person
Provider Business Mailing Address Details
Address
18 S Michigan Ave
City
State
Zip
07033-1708
Phone Number
908-623-0121
Fax Number
866-498-0867
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Radiography
Taxonomy
License No.
626344 (New Jersey)
Definition
Definition to come...
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