Organization
MEDICAL ONCOLOGY ASSOCIATES OF WYOMING VALLEY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID W. GREENWALD MD (PRESIDENT)
(570) 288-7231
Entity
Organization
Contact information
Practice address
382 PIERCE ST, KINGSTON, PA 18704-5535
(570) 288-7231
Mailing address
382 PIERCE ST, KINGSTON, PA 18704-5535
(570) 288-7231
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007619470002
—
PA
Enumeration date
08/02/2005
Last updated
07/21/2022
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