Provider Demographics
NPI:1568598647
Name:BRAIT, PARTNOW, MARGOLIN & SHARETTS, MD'S, PA
Entity Type:Organization
Organization Name:BRAIT, PARTNOW, MARGOLIN & SHARETTS, MD'S, PA
Other - Org Name:MRI DIAGNOSTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JEFFREY
Authorized Official - Last Name:PARTNOW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-871-7777
Mailing Address - Street 1:231 VAN SCIVER PKWY
Mailing Address - Street 2:
Mailing Address - City:WILLINGBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08046-1132
Mailing Address - Country:US
Mailing Address - Phone:609-871-7777
Mailing Address - Fax:609-871-6026
Practice Address - Street 1:231 VAN SCIVER PKWY
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-1132
Practice Address - Country:US
Practice Address - Phone:609-871-7777
Practice Address - Fax:609-871-6026
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRAIT, PARTNOW, MARGOLIN & SHARETTS, MD'S, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-26
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJCN1212OtherRAILROAD MEDICARE
NJ1035083OtherHORIZON NJ HEALTH
NJ2811901Medicaid
NJ2K6219OtherHEALTHNET
NJ2811901Medicaid