Organization
KIMRAD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH LATTANZI MD (PARTNER)
(732) 363-2699
Entity
Organization
Contact information
Practice address
101 PROSPECT ST, SUITE 111, LAKEWOOD, NJ 08701-5020
(732) 363-2699
Mailing address
1020A BOAL AVE, BOALSBURG, PA 16827-1509
(814) 237-8627
(814) 238-0083
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
NJ
Other
Enumeration date
05/01/2007
Last updated
07/21/2022
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