# WYOMING VALLEY RADIATION MEDICINE ASSOCIATES P C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cancer Center of Wyoming Valley
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740272871
- **Authorized official:** DR. ROBERT A ROSTOCK MD (DIRECTOR)
- **Authorized official phone:** (570) 822-9822

## Contact information

- **Practice address:** 50 ROOSEVELT TER, WILKES BARRE, PA 18702-3517
- **Practice address phone:** (570) 822-9822
- **Practice address fax:** (570) 822-7955
- **Mailing address:** 50 ROOSEVELT TER, WILKES BARRE, PA 18702-3517
- **Mailing address phone:** (570) 822-9822
- **Mailing address fax:** (570) 822-7955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 261QX0203X | Radiation Oncology Clinic/Center | AC02-40449 | PA | Yes |

## Other

- **Enumeration date:** 08/16/2005
- **Last updated:** 03/31/2008