Organization
SOUTHERN NEW ENGLAND REGIONAL CANCER CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L HIATT (CFO)
(630) 936-8828
Entity
Organization
Contact information
Practice address
115 CASS AVE STE 1, WOONSOCKET, RI 02895-4705
(401) 356-1701
(401) 356-4537
Mailing address
115 CASS AVE STE 1, WOONSOCKET, RI 02895-4705
(401) 356-1701
(401) 356-4537
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9003933
—
RI
Enumeration date
01/20/2006
Last updated
11/19/2024
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