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Organization
WASHINGTON TOWNSHIP HOSPITAL DEVELOPMENT CORPORATION
Active
Organization
WASHINGTON TOWNSHIP HOSPITAL DEVELOPMENT CORPORATION
Active
Other names
Washington Radiation Oncology Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY FARBER (PRESIDENT AND CEO)
(510) 745-6500
Entity
Organization
Contact information
Practice address
39101 CIVIC CENTER DR, FREMONT, CA 94538-5817
(510) 796-7212
(510) 745-6469
Mailing address
39101 CIVIC CENTER DR, FREMONT, CA 94538-5817
(510) 796-7212
(510) 745-6469
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0019200
—
CA
01
—
ZZZ95438Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
05/16/2006
Last updated
12/10/2007
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