Organization
RADIATION MEDICINE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH BUCKLEY (M.D.)
(860) 545-2803
Entity
Organization
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06106-3315
(860) 545-2803
Mailing address
PO BOX 10190, VIRGINIA BEACH, VA 23450-0190
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
023574
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001235746
—
CT
01
—
920007314
RAILROAD MEDICARE
CT
Enumeration date
05/01/2006
Last updated
06/27/2008
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