Organization
NORTH COAST CANCER CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN GALE ROSHON M.D. (PRESIDENT)
(419) 626-9090
Entity
Organization
Contact information
Practice address
417 QUARRY LAKES DR., SANDUSKY, OH 44870-4132
(419) 626-9090
Mailing address
417 QUARRY LAKES DR., SANDUSKY, OH 44870-4132
(419) 626-9090
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
—
OH
207RH0003X
Hematology & Oncology Physician
Primary
—
OH
2085R0001X
Radiation Oncology Physician
—
OH
2085R0202X
Diagnostic Radiology Physician
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0408348
—
OH
Enumeration date
07/02/2006
Last updated
05/07/2010
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