Healthcare Provider Details

I. General information

NPI: 1245260272
Provider Name (Legal Business Name): RADIATION ONCOLOGY ASSOCIATES, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 11/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ELLIOT WAY ELLIOT HOSPITAL - RADIATION ONCOLOGY
MANCHESTER NH
03103-3502
US

IV. Provider business mailing address

PO BOX 845346
BOSTON MA
02284-5346
US

V. Phone/Fax

Practice location:
  • Phone: 603-663-1800
  • Fax:
Mailing address:
  • Phone: 814-237-8627
  • Fax: 814-238-0083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QX0203X
TaxonomyRadiation Oncology Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS A SHELDON
Title or Position: PRESIDENT
Credential: MD
Phone: 603-373-0266