Organization
UNIVERSITY RADIATION MEDICINE ASSOCIATES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA MANGOSH (PRACTICE ADMINISTRATOR)
(216) 844-7061
Entity
Organization
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1736
(216) 844-7061
Mailing address
5910 LANDERBROOK DR, SUITE 250, MAYFIELD HTS, OH 44124-6508
(440) 684-5816
(440) 449-1555
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2071878
—
OH
01
—
CI7471
RAILROAD MEDICARE
OH
Enumeration date
06/04/2006
Last updated
08/22/2020
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