Organization
MIDDLESEX EAST RADIATION ONCOLOGIST, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL MCKEOUGH M.D. (MEDICAL DIRECTOR)
(781) 279-0655
Entity
Organization
Contact information
Practice address
48 MONTVALE AVE, STONEHAM, MA 02180-2425
(781) 279-0655
(781) 279-0409
Mailing address
48 MONTVALE AVE, STONEHAM, MA 02180-2425
(781) 279-0655
(781) 279-0409
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9768866
—
MA
Enumeration date
10/04/2006
Last updated
08/22/2020
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