Organization
PENNSYLVANIA ONCOLOGY HEMATOLOGY ASSOCIATES, PC
Active
Other names
PENNSYLVANIA ONCOLOGY HEMATOLOGY ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HENRY (SEC AND TREASURER)
(215) 829-6088
Entity
Organization
Contact information
Practice address
250 KING OF PRUSSIA RD, STE 1B, RADNOR, PA 19087-5220
(610) 902-5950
(610) 902-5959
Mailing address
230 W WASHINGTON SQ, 2ND FLOOR, PHILADELPHIA, PA 19106-3500
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD021663E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009549220002
—
PA
05
—
0017646000004
—
PA
01
—
3987483
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/18/2007
Last updated
05/19/2011
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