Organization
NORTHEAST RADIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI COOPER (DIRECTOR OF CREDENTIALING)
(754) 206-6198
Entity
Organization
Contact information
Practice address
60 OLD NEW MILFORD RD STE 2A, BROOKFIELD, CT 06804-2434
(203) 780-7012
Mailing address
18201 VON KARMAN AVE STE 600, IRVINE, CA 92612-1176
(949) 242-5300
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
03/21/2023
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