Healthcare Provider Details

I. General information

NPI: 1710917968
Provider Name (Legal Business Name): RADIATION ONCOLOGISTS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 08/26/2022
Certification Date: 08/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RADIATION ONCOLOGISTS PA 4701 OGLETOWN-STANTON ROAD
NEWARK DE
19713-2055
US

IV. Provider business mailing address

PO BOX 12870
WILMINGTON DE
19850-2870
US

V. Phone/Fax

Practice location:
  • Phone: 302-733-0806
  • Fax: 302-733-0854
Mailing address:
  • Phone: 302-709-4487
  • Fax: 302-709-2413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. JON STRASSER
Title or Position: PRESIDENT
Credential: MD
Phone: 302-623-4824