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Organization
RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP
Active
Organization
RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN BRESLAU M.D. (PRESIDENT)
(916) 646-8300
Entity
Organization
Contact information
Practice address
1680 E ROSEVILLE PKWY, SUITE 100, ROSEVILLE, CA 95661-3988
(916) 783-8114
(916) 783-8116
Mailing address
1500 EXPO PKWY, SACRAMENTO, CA 95815-4227
(916) 646-8300
(916) 561-8620
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
207U00000X
Nuclear Medicine Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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