Organization
KEYSTONE ONCOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK COLARUSSO D.O. (OWNER)
(610) 378-2061
Entity
Organization
Contact information
Practice address
2494 BERNVILLE RD, SUITE G03, READING, PA 19605-9469
(601) 378-2061
Mailing address
P O BOX 7282, LANCASTER, PA 17603
(601) 378-2061
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
OS007188L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016012930003
—
PA
Enumeration date
09/25/2006
Last updated
06/16/2008
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