Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Jun 28, 2011
License(s)
285336 (NY), 285336 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2616 ERWIN RD UNIT 2224 | Durham, NC 27705-3843 | 682-225-0511 |
| LOCATION | 3001 HANOVER ST DEPARTMENT OF MEDICINE | Baltimore, MD 21225-1233 | 410-350-3565 |
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