Organization
PHOENIXVILLE RADIATION ONCOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMAN TIWARI MD (OWNER)
(610) 327-7301
Entity
Organization
Contact information
Practice address
140 NUTT RD, PHOENIXVILLE, PA 19460-3906
(610) 983-1800
(610) 983-1799
Mailing address
1611 MEDICAL DR, POTTSTOWN, PA 19464-3241
(610) 327-7301
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029248610001
—
PA
01
—
1645109
GATEWAY MCR
PA
01
—
30184766
KEYSTONE FIRST
PA
01
—
3918245000
IBC
PA
01
—
DV0582
RR MEDICARE
PA
Enumeration date
05/07/2014
Last updated
05/05/2022
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