Organization
PEDIATRIC HEMATOLOGY ONCOLOGY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE D COHEN M.D. (PRESIDENT)
(602) 253-5993
Entity
Organization
Contact information
Practice address
333 E VIRGINIA AVE, #210, PHOENIX, AZ 85004-1206
(602) 253-5993
(602) 253-4254
Mailing address
333 E VIRGINIA AVE, #210, PHOENIX, AZ 85004-1206
(602) 253-5993
(602) 253-4254
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9868
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201062
—
AZ
Enumeration date
02/13/2007
Last updated
08/22/2020
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