NPI | 1760155584 |
---|---|
Other Name | UMMMG - RADIATION ONCOLOGY |
Entity Type | Organization |
Authorized Contact | DEBRA M WOOLDRIDGE Supervisor Provider Enrollment 508-334-8890 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology |
Enumeration Date | 2021-07-28 |
Last Update Date | 2021-07-28 |