Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nuclear Imaging & Therapy |
207UN0902X | 36 | Physician/Nuclear Medicine |
| NPI Number | 1295017010 |
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| LBN Legal business name | PREMIER NUCLEAR MEDICINE CSP | ||||||||
| Authorized official | MARIA ACEVEDO - (PRESIDENT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 09/19/2011 | ||||||||
| Last updated | 06/01/2020 - About 6 years ago | ||||||||
| Identifiers |
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