Organization
VANTAGE CANCER CARE - PENNSYLVANIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN IACUONE M.D. (PRESIDENT)
(505) 220-9973
Entity
Organization
Contact information
Practice address
470 JOHN YOUNG WAY, SUITE 400, EXTON, PA 19341-2557
(610) 524-5550
Mailing address
1500 ROSECRANS AVE, SUITE 400, MANHATTAN BEACH, CA 90266-3763
(310) 335-4000
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
—
2085R0001X
Radiation Oncology Physician
—
—
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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