Organization
BRISTOL RADIATION ONCOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY A BITTERMAN MD (PRESIDENT)
(814) 237-8627
Entity
Organization
Contact information
Practice address
25 NEWELL RD, SUITE C11, BRISTOL, CT 06010-5100
(860) 582-9800
Mailing address
PO BOX 689, BOALSBURG, PA 16827-0689
(814) 237-8627
(814) 238-0083
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001391606
—
CT
01
—
50BRADONCCT01
ANTHEM BCBS
CT
Enumeration date
04/06/2006
Last updated
07/21/2022
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