Organization
ADVANCED UROLOGIC RADIATION ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUKARAM GAZI MD (OWNER)
(732) 928-5300
Entity
Organization
Contact information
Practice address
900 ROUTE 70, LAKEWOOD, NJ 08701-5940
(732) 928-5300
(732) 928-5301
Mailing address
1021 W COMMODORE BLVD, JACKSON, NJ 08527-5326
(732) 928-5300
(732) 928-5301
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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