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Organization
CONCIERGE RADIOLOGY GROUP LLC
Active
Organization
CONCIERGE RADIOLOGY GROUP LLC
Active
Other names
Concierge Radiology Group
Organization subpart
No
Provider details
NPI number
Authorized official
GUSTAVO PANTOL (EMPLOYEE)
(516) 509-3755
Entity
Organization
Contact information
Practice address
520 WEST AVE APT 705, MIAMI BEACH, FL 33139-6797
(516) 509-3755
Mailing address
520 WEST AVE APT 705, MIAMI BEACH, FL 33139-6797
(516) 509-3755
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
07/07/2022
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