Organization
RADIATION THERAPY OF OLEAN PC
Active
Other names
Regional Cancer Care Olean Bradford
Organization subpart
No
Provider details
NPI number
Authorized official
RANJIT S DHALIWAL M.D. (DELEGATED OFFICIAL)
(716) 373-7134
Entity
Organization
Contact information
Practice address
1415 BUFFALO ST, OLEAN, NY 14760-1139
(716) 373-7134
(716) 373-5787
Mailing address
1415 BUFFALO ST, OLEAN, NY 14760-1139
(716) 373-7134
(716) 373-5787
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000528169001
BC OF WESTERN NY
NY
05
—
0012714830001
—
PA
05
—
01289849
—
NY
01
—
952634
HIGHMARK BC/BS
PA
Enumeration date
01/09/2006
Last updated
08/22/2020
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