Organization
HEMATOLOGY & ONCOLOGY ASSOCIATES OF GREENWICH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DICKERMAN HOLLISTER MD (PARTNER)
(203) 863-3737
Entity
Organization
Contact information
Practice address
77 LAFAYETTE PLACE, GREENWICH, CT 06830
(203) 863-3737
(203) 863-3741
Mailing address
77 LAFAYETTE PLACE, GREENWICH, CT 06830
(203) 863-3737
(203) 863-3741
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004253910
—
CT
01
—
D100000244
MEDICARE PTAN
CT
Enumeration date
08/03/2006
Last updated
01/14/2010
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