NPI 1073734877

Kimrad LLC

Organisation Radiation Oncology Physician Lakewood, NJ

Practice location

Address: 101 Prospect St Suite 111, Lakewood, NJ 08701-5020
Phone: (732) 363-2699
Mailing address: 1020a Boal Ave, Boalsburg, PA 16827-1509

Authorised official

Name: Joseph Lattanzi
Title: Partner
Phone: (732) 363-2699

Registered specialties

Radiation Oncology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0001X

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Registry record

NPI: 1073734877
Entity type: Organization
NPI issued: 1 May 2007
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.