Organization
VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM
Active
Other names
Massey Cancer Center-Hanover
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIC P PULEO (CFO)
(804) 828-1295
Entity
Organization
Contact information
Practice address
8222 MEADOWBRIDGE RD, MECHANICSVILLE, VA 23116-2331
(804) 828-6315
Mailing address
PO BOX 758997, BALTIMORE, MD 21275-0001
(804) 828-6315
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
H1875
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
442279
MASSEY CANCER CTR-HANOVER
VA
Enumeration date
12/19/2006
Last updated
08/22/2020
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