Organization
CHATTANOOGAS PROGRAM IN WOMENS ONCOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN E. DEPASQUALE MD (PHYSICIAN)
(423) 266-3636
Entity
Organization
Contact information
Practice address
102 CENTRAL AVE, CHATTANOOGA, TN 37403-1503
(423) 266-3636
(423) 266-3633
Mailing address
102 CENTRAL AVE, CHATTANOOGA, TN 37403-1503
(423) 266-3636
(423) 266-3633
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
35113
TN
Other
Enumeration date
10/27/2006
Last updated
11/12/2009
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