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Organization
ALLIANCE CANCER SPECIALISTS
Active
Organization
ALLIANCE CANCER SPECIALISTS
Active
Parent organization
CONSULTANTS IN MEDICAL ONCOLOGY & HEMATOLOGY, PC
Other names
Main Line Oncology Hematology Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONSULTANTS IN MEDICAL ONCOLOGY & HEMATOLOGY, PC
Authorized official
KIM DISTASIO (PRACTICE MANAGER)
(610) 645-2494
Entity
Organization
Contact information
Practice address
100 LANCASTER AVE, WYNNEWOOD, PA 19096
(610) 645-2494
(610) 645-4456
Mailing address
100 E LANCASTER AVENUE SUITE 100, WYNNEWOOD, PA 19096
(610) 645-2494
(610) 645-4456
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MC542764A
PA
Other
Enumeration date
08/31/2006
Last updated
02/24/2022
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