Organization
PENNSYLVANIA ONCOLOGY HEMATOLOGY ASSOCIATES, PC
Active
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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