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Organization
SOUTH SHORE NUCLEAR DIAGNOSTICS
Active
Organization
SOUTH SHORE NUCLEAR DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD J GRACE (DIRECTOR OF BILLING)
(610) 993-1640
Entity
Organization
Contact information
Practice address
30 HEMPSTEAD AVE, SUITE 246, ROCKVILLE CENTRE, NY 11570-4033
(516) 764-5051
(516) 564-5113
Mailing address
43 LEOPARD RD, SUITE 200, PAOLI, PA 19301-1552
(610) 993-1640
(610) 993-1651
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/17/2006
Last updated
08/22/2020
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