| Organization Name: | BAY RADIATION ONCOLOGY,P.L.L.C |
| NPI Number: | 1013102185 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUNG I LEE (MEMBER) |
| Mailing Address: | 350 Boulevard Passaic |
| State: | NJ US |
| Postal Code: | 070552840 |
| Phone Number: | 9733655088 |
| Fax Number: | |
| NPI Enumeration Date: | 09/11/2007 |
| NPI Last Update Date: | 09/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0203X |
| License Number: | 25MA04364400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Therapeutic Radiology |
| Taxonomy Definition: | |