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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