Organization
BAY RADIATION ONCOLOGY,P.L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNG I LEE M.D. (MEMBER)
(212) 799-0196
Entity
Organization
Contact information
Practice address
350 BOULEVARD, PASSAIC, NJ 07055-2840
(973) 365-5088
Mailing address
150W 79TH ST., APT 2A, NEW YORK, NY 10024
(212) 799-0196
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
25MA04364400
NJ
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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