Organization
GOOD SAMARITAN PHYSICIAN SERVICES
Active
Other names
Wellspan Radiation Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
JASON LONGO (ADMINISTRATIOR)
(717) 270-3827
Entity
Organization
Contact information
Practice address
844 TUCK STREET, LEBANON, PA 17042
(717) 270-2238
(717) 270-2325
Mailing address
844 TUCK STREET, LEBANON, PA 17042
(717) 270-2238
(717) 270-2325
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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