# SUBURBAN HEMATOLOGY ONCOLOGY INC

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

## Provider details

- **NPI number:** 1942414412
- **Authorized official:** DR. ALAN WINE M.D. (OWNER)
- **Authorized official phone:** (216) 378-0900

## Contact information

- **Practice address:** 3619 PARK EAST DR, SUITE 211, BEACHWOOD, OH 44122-4330
- **Practice address phone:** (216) 378-0900
- **Practice address fax:** (216) 378-1853
- **Mailing address:** 6463 TAYLOR MILL RD, INDEPENDENCE, KY 41051-9392
- **Mailing address phone:** (859) 363-4900
- **Mailing address fax:** (859) 363-4986

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | WI032845 | OH | Yes |

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 10/25/2007