Organization
PEDIATRIC HEMATOLOGY-ONCOLOGY SPECIALISTS, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALVATORE JAMES BERTOLONE JR. MD (PRESIDENT)
(502) 629-7750
Entity
Organization
Contact information
Practice address
601 S FLOYD ST, SUITE 403, LOUISVILLE, KY 40202-1835
(502) 629-7750
(502) 629-5780
Mailing address
601 S FLOYD ST, SUITE 403, LOUISVILLE, KY 40202-1835
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65906513
—
KY
Enumeration date
02/06/2007
Last updated
02/19/2010
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