Organization
CENTRIC RADIATION ONCOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD M YELOVICH MD (ADMINISTRATOR)
(610) 524-5550
Entity
Organization
Contact information
Practice address
470 JOHN YOUNG WAY, SUITE 400, EXTON, PA 19341
(610) 524-5550
(610) 524-5546
Mailing address
PO BOX 30560, LOS ANGELES, CA 90030-0560
(310) 335-4000
(310) 335-4098
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016763100002
—
PA
05
—
0016763100003
—
PA
01
—
0121427000
KEYSTONE 65
PA
01
—
084362
BCBS PA
PA
01
—
CG2734
RR MEDICARE
PA
Enumeration date
11/16/2005
Last updated
07/21/2022
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