Organization
MID-PENN RADIATION ONCOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WARREN SEWALL M.D. (OWNER)
(717) 782-4740
Entity
Organization
Contact information
Practice address
2501 N 3RD ST, HARRISBURG, PA 17110-1904
(717) 782-4740
(717) 782-4747
Mailing address
4520 UNION DEPOSIT RD, HARRISBURG, PA 17111-2910
(717) 652-6105
(717) 652-2165
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019707180001
—
PA
01
—
DG6445
RAILROAD MEDICARE
PA
Enumeration date
07/06/2007
Last updated
03/14/2008
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