Organization
LEBANON ONCOLOGY & HEMATOLOGY ASSOC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUBEN PEREZ MD (PHYSICIAN)
(717) 274-8873
Entity
Organization
Contact information
Practice address
4TH & WILLOW ST, HYMAN S CAPLAN PAVILION, LEBANON, PA 17046
(717) 274-8875
Mailing address
220 S RAILROAD ST, P.O. BOX 312, PALMYRA, PA 17078
(717) 838-6462
(717) 838-5659
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
036017E
PA
207RH0003X
Hematology & Oncology Physician
Primary
PE133702
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02789600
CAPITAL BLUE CROSS
PA
01
—
573400
HIGHMARK BLUE SHIELD
PA
Enumeration date
08/07/2006
Last updated
08/22/2020
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