Organization
MID-HUDSON VALLEY RADIATION ONCOLOGY LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIMITRIOS P PAPADOPOULOS MD (DIRECTOR)
(845) 431-5645
Entity
Organization
Contact information
Practice address
45 READE PLACE, POUGHKEEPSIE, NY 12601-3947
(845) 431-5645
Mailing address
171 TECHNOLOGY DR, SUITE 200, BOALSBURG, PA 16827-1635
(814) 237-8627
(814) 238-0083
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01355540
—
NY
01
—
0532398
AETNA USHC HMO
NY
01
—
0X00N60037
PHS HEALTHNET
NY
01
—
70177
MVP
NY
01
—
7065
CDPHP
NY
01
—
CB1741
RR MEDICARE
NY
Enumeration date
01/12/2006
Last updated
07/21/2022
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