Organization
VIRGINIA CANCER INSTITUTE INCORPORATED
Active
Other names
VCI Harbourside CT
Organization subpart
No
Provider details
NPI number
Authorized official
PABLO M GONZALEZ MD (PRESIDENT/MANAGING PARTNER)
(804) 330-7990
Entity
Organization
Contact information
Practice address
6130 HARBOURSIDE CENTRE LOOP, SUITE 101, MIDLOTHIAN, VA 23112-2170
(804) 378-0394
(804) 739-7649
Mailing address
7202 GLEN FOREST DR STE 200, RICHMOND, VA 23226-3780
(804) 391-4171
(804) 200-6229
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
12/31/2018
Last updated
04/15/2021
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