Organization
PLEASANT LAKE CANCER CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QIANG NAI MD PHD MPH (PRESIDENT)
(617) 785-2066
Entity
Organization
Contact information
Practice address
253 PLEASANT LAKE AVE, HARWICH, MA 02645-2552
(617) 785-2066
Mailing address
25 TRUMAN RD, NEWTON CENTER, MA 02459-2638
(617) 785-2066
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207RX0202X
Medical Oncology Physician
—
—
261Q00000X
Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QX0200X
Oncology Clinic/Center
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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