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Organization

RADIATION ONCOLOGY GROUP, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEROME J. SPUNBERG M.D. (PRESIDENT)
(561) 964-2662
Entity
Organization

Contact information

Practice address
4685 S CONGRESS AVE, FIRST FLOOR, LAKE WORTH, FL 33461-4710
(561) 964-2662
(561) 548-1635
Mailing address
4685 S CONGRESS AVE, FIRST FLOOR, LAKE WORTH, FL 33461-4710
(561) 964-2662
(561) 548-1635

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
371397100
FL
Enumeration date
08/10/2005
Last updated
03/29/2012
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