Organization
RADIATION ONCOLOGY ASSOCIATES INC
Active
Other names
NorthMain Radiation Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICKLAS E. OLDENBURG M.D. (PRESIDENT)
(401) 521-9700
Entity
Organization
Contact information
Practice address
825 N MAIN ST, PROVIDENCE, RI 02904-5707
(401) 521-9700
(401) 751-1686
Mailing address
825 N MAIN ST, PROVIDENCE, RI 02904-5707
(401) 521-9700
(401) 751-1686
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000233
—
RI
01
—
CE6091
RR MEDICARE
RI
Enumeration date
05/24/2005
Last updated
06/10/2021
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