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Organization

TOLL GATE RADIOLOGY II, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTHONY G BRUZZESE M.D. (PARTNER/RADIOLOGIST)
(401) 738-3100
Entity
Organization

Contact information

Practice address
300 TOLL GATE RD, STE 101A, 102, WARWICK, RI 02886-4416
(401) 738-3100
(401) 738-8505
Mailing address
215 TOLL GATE RD, STE 109, WARWICK, RI 02886-4458
(401) 738-3100
(401) 738-8505

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
2085N0700X
Neuroradiology Physician
2085N0904X
Nuclear Radiology Physician
2085P0229X
Pediatric Radiology Physician
2085R0202X
Diagnostic Radiology Physician
Primary
2085R0204X
Vascular & Interventional Radiology Physician
2085U0001X
Diagnostic Ultrasound Physician

Other

Enumeration date
10/08/2010
Last updated
10/12/2010
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