Organization
BERKS HEMATOLOGY ONCOLOGY ASSOC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICK C. LEASURE M.D. (PRESIDENT)
(610) 374-4404
Entity
Organization
Contact information
Practice address
S 6TH AVE & SPRUCE ST, TRHMC REGIONAL CANCER CENTER N-GROUND, WEST READING, PA 19611
(610) 374-4404
(610) 374-1396
Mailing address
PO BOX 16052, READING, PA 19612-6052
(610) 374-4404
(610) 374-1396
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006470190001
—
PA
01
—
0020506000
AMERIHEALTH 65
—
01
—
021912
HIGHMARK BLUE SHIELD
PA
01
—
02412800
CAPITAL BLUE CROSS
PA
01
—
20015378
AMERIHEALTH MERCY
—
01
—
CF2026
RAILROAD MEDICARE
—
Enumeration date
03/31/2006
Last updated
02/01/2010
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