Healthcare Provider Details

I. General information

NPI: 1508817115
Provider Name (Legal Business Name): WASHINGTON TOWNSHIP HOSPITAL DEVELOPMENT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 12/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39101 CIVIC CENTER DR
FREMONT CA
94538-5817
US

IV. Provider business mailing address

39101 CIVIC CENTER DR
FREMONT CA
94538-5817
US

V. Phone/Fax

Practice location:
  • Phone: 510-796-7212
  • Fax: 510-745-6469
Mailing address:
  • Phone: 510-796-7212
  • Fax: 510-745-6469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0203X
TaxonomyRadiation Oncology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. NANCY FARBER
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 510-745-6500