Organization
EAST SHORE ONCOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RONDA L. THOMAS (OFFICE MANAGER)
(717) 558-7350
Entity
Organization
Contact information
Practice address
750 E PARK DR, HARRISBURG, PA 17111-2758
(717) 558-7350
(717) 558-7353
Mailing address
750 E PARK DR, HARRISBURG, PA 17111-2758
(717) 558-7350
(717) 558-7353
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD031315E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010993580002
—
PA
01
—
02440100
KEYSTONE CENTRAL
PA
01
—
472428
AETNA
PA
01
—
7195254
GATEWAY
PA
01
—
73750
HEALTH AMERICA
PA
Enumeration date
03/07/2006
Last updated
03/11/2008
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