Organization
EASTERN ONCOLOGY & HEMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE ABDALLAH MD (OWNER)
(252) 830-1867
Entity
Organization
Contact information
Practice address
855 JOHNS HOPKINS DR, GREENVILLE, NC 27834-7223
(252) 830-1867
(252) 830-1003
Mailing address
855 JOHNS HOPKINS DR, GREENVILLE, NC 27834-7223
(252) 830-1867
(252) 830-1003
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
34779
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01828
BCBS
NC
01
—
36-56186
UNITED HEALTHCARE
NC
01
—
830006019
MEDICARE RR
NC
05
—
8901828
—
NC
Enumeration date
05/22/2007
Last updated
04/29/2008
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