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NPI Code Detail

MEDICARE: RADIATION ONCOLOGY ASSOCIATES INC

MEDICARE: RADIATION ONCOLOGY ASSOCIATES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0001XRadiation Oncology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CE6091OTHERRIRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376546267
Entity Type Code : Organization
Provider Name (Legal Business Name) : RADIATION ONCOLOGY ASSOCIATES INC
Provider Business Mailing Address
First Line : 825 N MAIN ST
Second Line :
City : PROVIDENCE
State : RI
Zip : 02904-5707
Country : US
Telephone Number : 401-521-9700
Fax Number : 401-751-1686
Provider Business Practice Location Address
First Line : 825 N MAIN ST
Second Line :
City : PROVIDENCE
State : RI
Zip : 02904-5707
Country : US
Telephone Number : 401-521-9700
Fax Number : 401-751-1686
Authorized Official
Title or Position : PRESIDENT
Name : DR. NICKLAS E. OLDENBURG
Credential : M.D.
Telephone Number : 401-521-9700
Provider Enumeration Date : 05/24/2005
Last Update Date : 06/10/2021

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1871596833 — DR. DONALD R. JOYCE M.D.
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1801899760 — DR. NICKLAS B OLDENBURG M.D.
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Directions to “RADIATION ONCOLOGY ASSOCIATES INC ” Practice Location

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