Organization
CRYSTAL COAST RADIATION ONCOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER AUGUST PHILIPPART MD (PRESIDENT)
(252) 634-9901
Entity
Organization
Contact information
Practice address
2000 NEUSE BLVD, NEW BERN, NC 28560-3449
(252) 633-8730
(252) 633-8736
Mailing address
1425 S GLENBURNIE RD, SUITE 6, NEW BERN, NC 28562-2610
(252) 634-9901
(252) 634-9946
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02713
BCBS NC GROUP NUMBER
NC
05
—
8902713
—
NC
Enumeration date
07/08/2005
Last updated
07/21/2022
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