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1164434924
PORT INTERVENTIONAL RADIOLOGY PC
PORT JEFFERSON, NY
NPI
1164434924
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Entity Type
Organization
Authorized Contact
EDWARD H GLENN
President
631-476-2754
Organization Subpart ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
Enumeration Date
2006-08-12
Last Update Date
2020-08-22
Business Address
PORT INTERVENTIONAL RADIOLOGY PC
75 NORTH COUNTRY ROAD
PORT JEFFERSON, NY 11777
Phone number: 631-476-2757
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Mailing Address
PORT INTERVENTIONAL RADIOLOGY PC
75 NORTH COUNTRY ROAD
PORT JEFFERSON, NY 11777
Phone number: 631-476-2757
Copy
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