1962462366 NPI number — HEMATOLOGY & ONCOLOGY CONSULTANTS OF PENNSYLVANIA, P.C.

Table of content: (NPI 1962462366)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962462366 NPI number — HEMATOLOGY & ONCOLOGY CONSULTANTS OF PENNSYLVANIA, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEMATOLOGY & ONCOLOGY CONSULTANTS OF PENNSYLVANIA, P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1962462366
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/11/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
101 ERFORD RD
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
CAMP HILL
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17011-1802
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-975-8900
Provider Business Mailing Address Fax Number:
717-975-9400

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
101 ERFORD RD
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
CAMP HILL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17011-1802
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-975-8900
Provider Business Practice Location Address Fax Number:
717-975-9400
Provider Enumeration Date:
03/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LEAL
Authorized Official First Name:
ALFRED
Authorized Official Middle Name:
R.
Authorized Official Title or Position:
PRESIDENT PHYSICIAN
Authorized Official Telephone Number:
717-975-8900

Provider Taxonomy Codes

  • Taxonomy code: 207RH0003X , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 50026517 . This is a "BLUE CROSS GROUP NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1548596 . This is a "BLUE SHIELD GROUP NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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