Organization
BLOOD & CANCER CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA A ORTIZ ALVARADO (BILLING/CREDENTIALING)
(330) 533-3040
Entity
Organization
Contact information
Practice address
3695A BOARDMAN CANFIELD RD, CANFIELD, OH 44406-9009
(330) 533-3040
(330) 533-9459
Mailing address
3695A BOARDMAN CANFIELD RD, CANFIELD, OH 44406-9009
(330) 533-3040
(330) 533-9459
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
100427
OH
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0272164
—
OH
01
—
9927941
PTAN
OH
Enumeration date
09/18/2007
Last updated
04/30/2024
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