Organization
MADISON RADIOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARD JAY (PRESIDENT)
(203) 245-7351
Entity
Organization
Contact information
Practice address
2 SAMSON ROCK DR, MADISON, CT 06443-3005
(203) 245-7351
(203) 245-8838
Mailing address
2 SAMSON ROCK DR, MADISON, CT 06443-3005
(203) 245-7351
(203) 245-8838
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
02984
CT
261QR0206X
Mammography Clinic/Center
02984
CT
Other
Enumeration date
07/04/2006
Last updated
01/02/2013
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