Organization
MEDICAL ONCOLOGY AND BLOOD DISORDERS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORIS BYREM RN (ADMINISTRATOR)
(860) 533-3091
Entity
Organization
Contact information
Practice address
100 HAYNES ST FL 2, DEQUATTRO COMMUNITY CANCER CENTER, MANCHESTER, CT 06040-4113
(860) 646-0670
(860) 643-9388
Mailing address
100 HAYNES ST FL 2, BUSINESS OFFICE, MANCHESTER, CT 06040-4113
(860) 533-3091
(860) 533-3096
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004395085
—
CT
Enumeration date
08/01/2006
Last updated
06/18/2013
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