Organization
PHILADELPHIA RADIATION ONCOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIZHAN MICAILY M.D. (PRESIDENT)
(212) 707-4233
Entity
Organization
Contact information
Practice address
3401 N BROAD ST, 1ST FLOOR, RADIATION ONCOLOGY, PHILADELPHIA, PA 19140-5103
(215) 707-4233
(215) 707-8062
Mailing address
250 MAPLE HILL RD, GLADWYNE, PA 19035-1308
(610) 896-5331
(215) 707-8062
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD037034L
PA
Other
Enumeration date
07/14/2006
Last updated
05/08/2008
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