Organization
NORTHEAST RADIOLOGY
Active
Other names
Candlewood
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA KESSLER (CREDENTIALING)
(845) 278-6200
Entity
Organization
Contact information
Practice address
103 NEWTOWN RD, DANBURY, CT 06810-4143
(845) 278-6200
Mailing address
3839 DANBURY RD, BREWSTER, NY 10509-5412
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
06/19/2007
Last updated
08/02/2007
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