Organization
PHYSICIAN ONCOLOGY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE TRENT (MANAGER PRACTICE)
(215) 677-5500
Entity
Organization
Contact information
Practice address
9600 ROOSEVELT BLVD, SUITE 301, PHILADELPHIA, PA 19115-3932
(215) 677-5500
Mailing address
9600 ROOSEVELT BLVD, SUITE 301, PHILADELPHIA, PA 19115-3932
(215) 677-5500
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
MD016271E
PA
Other
Enumeration date
05/31/2006
Last updated
10/06/2011
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