Organization
NORTHEAST MEDICAL ONCOLOGY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARSH GANDHI MD (DIRECTOR ACTIVE,ATTENDING)
(570) 459-2902
Entity
Organization
Contact information
Practice address
1740 E BROAD ST, HAZLETON, PA 18201-5667
(570) 459-2902
(570) 459-6090
Mailing address
1740 E BROAD ST, HAZLETON, PA 18201-5667
(570) 459-2902
(570) 459-6090
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
MD037484E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1199818
—
PA
Enumeration date
08/23/2005
Last updated
08/22/2020
Update your record
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