Organization
CANCER TREATMENT ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA DWYER (OPERATIONS MANAGER)
(570) 322-4138
Entity
Organization
Contact information
Practice address
1100 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1909
(570) 326-8203
Mailing address
1201 GRAMPIAN BLVD, STE 3A, WILLIAMSPORT, PA 17701-1900
(570) 322-4138
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000651100
—
PA
Enumeration date
09/14/2005
Last updated
02/15/2011
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