# PLEASANT LAKE CANCER CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780364240
- **Authorized official:** DR. QIANG NAI MD PHD MPH (PRESIDENT)
- **Authorized official phone:** (617) 785-2066

## Contact information

- **Practice address:** 253 PLEASANT LAKE AVE, HARWICH, MA 02645-2552
- **Practice address phone:** (617) 785-2066
- **Mailing address:** 25 TRUMAN RD, NEWTON CENTER, MA 02459-2638
- **Mailing address phone:** (617) 785-2066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |
| 207RX0202X | Medical Oncology Physician | — | NULL | — |
| 207RX0202X | Medical Oncology Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QI0500X | Infusion Therapy Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QX0200X | Oncology Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/20/2023
- **Last updated:** 07/20/2023