Organization
NAZARETH PHYSICIAN SERVICES
Active
Other names
Nazareth Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS HILKER (DIRECTOR)
(610) 567-5529
Entity
Organization
Contact information
Practice address
2701 HOLME AVE, SUITE 302, PHILADELPHIA, PA 19152-2029
(610) 567-5336
(610) 567-6955
Mailing address
1 W ELM ST, SUITE 100, CONSHOHOCKEN, PA 19428-4108
(610) 567-6964
(610) 567-6955
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
PA
2085R0001X
Radiation Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
095918
MEDICARE GROUP PTAN
PA
Enumeration date
11/18/2013
Last updated
08/28/2017
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