Organization
TRIANGLE RADIATION ONCOLOGY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT D ORNITZ MD (PRESIDENT)
(919) 784-3320
Entity
Organization
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3320
(919) 783-0737
Mailing address
PO BOX 16098, CHAPEL HILL, NC 27516-6098
(919) 967-6646
(919) 967-6647
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02838
BLUE CROSS/BLUE SHIELD
NC
05
—
8902838
—
NC
Enumeration date
07/01/2006
Last updated
08/22/2020
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