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Organization

PEDIATRIC HEMATOLOGY-ONCOLOGY SPECIALISTS, PSC

Active
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Organization

PEDIATRIC HEMATOLOGY-ONCOLOGY SPECIALISTS, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SALVATORE JAMES BERTOLONE JR. MD (PRESIDENT)
(502) 629-7750
Entity
Organization

Contact information

Practice address
601 S FLOYD ST, SUITE 403, LOUISVILLE, KY 40202-1835
(502) 629-7750
(502) 629-5780
Mailing address
601 S FLOYD ST, SUITE 403, LOUISVILLE, KY 40202-1835

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
—
NULL
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
—
—

Other

Enumeration date
02/06/2007
Last updated
02/19/2010
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