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Organization

PRH ONCOLOGY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH WASHINGTON (VICE PRESIDENT)
(703) 650-2907
Entity
Organization

Contact information

Practice address
155 BORTHWICK AVE, SUITE 303, PORTSMOUTH, NH 03801-7156
(603) 433-5226
(603) 433-4939
Mailing address
155 BORTHWICK AVE, SUITE 303, PORTSMOUTH, NH 03801-7156
(603) 433-5226
(603) 433-4939

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30214095
NH
05
432204700
ME
Enumeration date
06/11/2006
Last updated
01/20/2009
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