Organization
RIVERSIDE RADIOLOGY CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC HAMET MD (CEO)
(203) 912-4574
Entity
Organization
Contact information
Practice address
65 HARVARD AVE, STAMFORD, CT 06902-5564
(203) 912-4574
Mailing address
PO BOX 698, RIVERSIDE, CT 06878-0698
(203) 912-4574
(203) 724-1891
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0206X
Mammography Clinic/Center
—
—
Other
Enumeration date
03/10/2012
Last updated
03/10/2012
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