Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Jul 13, 2006
License(s)
25MA07584100 (NJ), 25MA07584100 (NJ), 194304 (NY), 194304 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 707 E MAIN ST ORANGE REGIONAL MEDICAL CENTER-RADIOLOGY DEPT | Middletown, NY 10940-2650 | 845-333-1258 |
| MAILING | 707 E MAIN ST RADIOLOGIC ASSOCIATES | Middletown, NY 10940-2650 | 845-333-1258 |
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