Organization
COMPREHENSIVE GYNECOLOGIC ONCOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK DOMINIC CIRISANO JR. M.D. (PRESIDENT)
(561) 447-0090
Entity
Organization
Contact information
Practice address
951 NW 13TH ST, SUITE 1B, BOCA RATON, FL 33486-2337
(561) 447-0090
(561) 447-9663
Mailing address
PO BOX 3026, HALLANDALE, FL 33008-3026
(561) 447-0090
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
ME 74132
FL
Other
Enumeration date
05/05/2006
Last updated
10/12/2007
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