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Organization

INDIANA BREAST CENTER

Active
Parent organization
LUDAG LLC DBA CANCER TREATMENT GROUP
Other names
Ludag LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
LUDAG LLC DBA CANCER TREATMENT GROUP
Authorized official
ROBERT T WOODBURN III MD (PRESIDENT)
(574) 271-2558
Entity
Organization

Contact information

Practice address
5363 COMMERCE DR, CROWN POINT, IN 46307-5325
(219) 769-5000
Mailing address
5363 COMMERCE DR, CROWN POINT, IN 46307-5325
(219) 769-5000

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200397270
IN
Enumeration date
07/17/2008
Last updated
07/17/2008
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