Organization
PREMIER RADIATION ONCOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE MILLER (BILLING DIRECTOR)
(973) 444-2664
Entity
Organization
Contact information
Practice address
2900 1ST AVE, HUNTINGTON, WV 25702-1241
(304) 526-1143
(304) 526-8942
Mailing address
PO BOX 1104, RAHWAY, NJ 07065-1104
(973) 444-2664
(732) 943-2702
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
11879
WV
Other
Enumeration date
10/12/2009
Last updated
10/25/2012
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