Organization
BOSTON BASKIN CANCER FOUNDATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS W RATLIFF MD (PRESIDENT)
(901) 767-4520
Entity
Organization
Contact information
Practice address
80 HUMPHREYS CENTER DR STE 330, MEMPHIS, TN 38120-2363
(901) 752-6131
(901) 752-6167
Mailing address
PO BOX 405827, ATLANTA, GA 30384-9446
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
31689
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1526936
—
TN
05
—
2871745
—
MS
01
—
DS2781
RR MEDICARE TN
TN
01
—
DS2782
RR MEDICARE MS
MS
01
—
DS5687
MEDICARE RR AR
AR
Enumeration date
10/05/2011
Last updated
03/03/2016
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