Organization
ONCOLOGY & HEMATOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIR MOUSAVI MD (PHYSICIAN/OWNER)
(302) 629-0260
Entity
Organization
Contact information
Practice address
701 MIDDLEFORD RD, SEAFORD, DE 19973-3600
(302) 629-0260
(302) 629-3418
Mailing address
701 MIDDLEFORD RD, SEAFORD, DE 19973-3600
(302) 629-0260
(302) 629-3418
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
C10001859
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000596902
DPCI
DE
05
—
0000596902
—
DE
01
—
0859121000
AMERIHEALTH
DE
01
—
CH4887
RAILROAD MEDICARE
DE
01
—
G254
BCBS DC
DE
01
—
LS05
CAREFIRST
DE
Enumeration date
10/25/2006
Last updated
04/20/2008
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