Organization
SOUTH SURBURBAN ONCOLOGY
Active
Parent organization
SOUTH SURBURBAN ONCOLOGY
Other names
South Surburban Oncology Doctors
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH SURBURBAN ONCOLOGY
Authorized official
DR. HAROLD JOSEPH BARTHOLD MD (MEDICAL DIRECTOR)
(508) 897-1505
Entity
Organization
Contact information
Practice address
55 CHRISTY DR, BROCKTON, MA 02301-1813
(508) 897-1505
Mailing address
55 CHRISTY DR, BROCKTON, MA 02301-1813
(508) 897-1505
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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