Organization
SHORELINE RADIOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J ORANGE MD (PRESIDENT)
(228) 374-7288
Entity
Organization
Contact information
Practice address
10567 SAWMILL PKWY, SUITE 100, POWELL, OH 43065-6672
(614) 210-1885
Mailing address
10567 SAWMILL PKWY, SUITE 100, POWELL, OH 43065-6672
(614) 210-1885
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
17725
MS
Other
Enumeration date
05/14/2009
Last updated
05/26/2009
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