Organization
GASTON HEMATOLOGY & ONCOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT GILOMEN CPA (ADMINISTRATOR)
(704) 865-5210
Entity
Organization
Contact information
Practice address
2610 ABERDEEN BLVD, GASTONIA, NC 28054-0637
(704) 865-5210
(704) 865-6282
Mailing address
2610 ABERDEEN BLVD, GASTONIA, NC 28054-0637
(704) 865-5210
(704) 865-6282
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0126W
BCBS NC
NC
05
—
890126W
—
NC
05
—
NPA805
—
SC
Enumeration date
05/22/2006
Last updated
08/05/2008
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