Healthcare Provider Details

I. General information

NPI: 1306090188
Provider Name (Legal Business Name): SPRINGFIELD RADIATION ONCOLOGY ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2008
Last Update Date: 01/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 CAREW ST
SPRINGFIELD MA
01104-2377
US

IV. Provider business mailing address

PO BOX 414710
BOSTON MA
02241-0001
US

V. Phone/Fax

Practice location:
  • Phone: 413-748-9230
  • Fax: 413-748-9192
Mailing address:
  • Phone: 814-237-8627
  • Fax: 814-238-0083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: BARBARA CARTON
Title or Position: ADMINISTRATOR
Credential: MD
Phone: 413-748-9230