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Organization

X-RAY TREATMENT CENTER

Active
Other names
X-Ray Treatment Center, PC/MCCI
Organization subpart
No

Provider details

NPI number
Authorized official
FARIDEH R. BAGNE PH.D., J.D. (CEO)
(248) 338-0300
Entity
Organization

Contact information

Practice address
23337 GRATIOT AVE, EASTPOINTE, MI 48021-1642
(586) 776-4820
(586) 777-3239
Mailing address
23337 GRATIOT AVE, EASTPOINTE, MI 48021-1642
(586) 776-4820
(586) 777-3239

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary

Other

Enumeration date
02/27/2006
Last updated
08/22/2020
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