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Organization
MEDICAL ONCOLOGY AND BLOOD DISORDERS, LLP
Active
Organization
MEDICAL ONCOLOGY AND BLOOD DISORDERS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORIS BYREM RN (ADMINISTRATOR)
(860) 533-3091
Entity
Organization
Contact information
Practice address
100 HAYNES ST FL 2, DEQUATTRO COMMUNITY CANCER CENTER, MANCHESTER, CT 06040-4113
(860) 646-0670
(860) 643-9388
Mailing address
100 HAYNES ST FL 2, BUSINESS OFFICE, MANCHESTER, CT 06040-4113
(860) 533-3091
(860) 533-3096
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004395085
—
CT
Enumeration date
08/01/2006
Last updated
06/18/2013
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