Organization
NORTHEAST MEDICAL GROUP INC
Active
Organization
NORTHEAST MEDICAL GROUP INC
Active
Other names
NORTHEAST MEDICAL GROUP GREENWICH RADIATION ONCOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE MCDONALD MD (PRESIDENT)
(203) 384-3717
Entity
Organization
Contact information
Practice address
77 LAFAYETTE PL, SUITE 290, GREENWICH, CT 06830-5426
(203) 863-3701
Mailing address
PO BOX 417143, BOSTON, MA 02241-0001
(615) 746-4711
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
047092
CT
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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