Richard Dias MD-Imrt LLC
in Lakewood, NJ. Organization (NPI-2).
NPI number1861664039
StatusActive
Last updated in NPPESMar 28, 2008
Details
- NPI
- 1861664039
- Entity type
- Organization (NPI-2)
- Legal business name
- Richard Dias MD-Imrt LLC
- Organization subpart
- No
- Enumeration date
- Mar 28, 2008
- Last updated
- Mar 28, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0001X | – | – | Yes |
Practice location
900 Route 70 EastLakewood, NJ 08701-5940
Phone 732-901-7314 · Fax 732-901-5704
Mailing address
521 Eagle Point DrToms River, NJ 08753-3331
Phone 732-244-2392
Authorized official
Richard Dias
President
7322442392
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