Organization
WYOMING VALLEY RADIATION MEDICINE SPECIALISTS P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A ROSTOCK MD (DIRECTOR)
(570) 552-1300
Entity
Organization
Contact information
Practice address
575 N RIVER ST, WILKES BARRE, PA 18764-0999
(570) 552-1300
(570) 552-1498
Mailing address
50 ROOSEVELT TER, WILKES BARRE, PA 18702-3517
(570) 822-9822
(570) 822-7955
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
261QX0203X
Radiation Oncology Clinic/Center
—
—
Other
Enumeration date
08/16/2005
Last updated
03/31/2008
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