Organization
LUDAG LLC DBA CANCER TREATMENT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT T WOODBURN (PRESIDENT)
(219) 326-2683
Entity
Organization
Contact information
Practice address
1007 LINCOLNWAY, LA PORTE, IN 46350-3201
(219) 326-2683
Mailing address
1007 LINCOLNWAY, LA PORTE, IN 46350-3201
(219) 326-2683
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA3166
RAIL ROAD MEDICARE GROUP
IN
Enumeration date
09/29/2006
Last updated
02/04/2008
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