Organization
UNIVERSITY RADIATION SPECIALTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY KINSELLA M.D. (PRESIDENT)
(216) 844-7061
Entity
Organization
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1736
(216) 844-7061
Mailing address
11100 EUCLID AVE, CLEVELAND, OH 44106-1736
(216) 844-7061
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2460466
—
OH
05
—
2474826
—
OH
05
—
2474844
—
OH
Enumeration date
08/12/2005
Last updated
08/22/2020
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