Organization
RADIOLOGY OF MSMC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE CHUTKAN (SR. VICE PRESIDENT)
(305) 674-2121
Entity
Organization
Contact information
Practice address
6050 W 20TH AVE, HIALEAH, FL 33016-2605
(305) 674-2680
Mailing address
PO BOX 11550, MIAMI, FL 33101-1550
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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