Healthcare Provider Details

I. General information

NPI: 1366487654
Provider Name (Legal Business Name): AKRON RADIATION ONCOLOGY ASSOC., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 WABASH AVE
AKRON OH
44307-2433
US

IV. Provider business mailing address

400 WABASH AVE
AKRON OH
44307-2433
US

V. Phone/Fax

Practice location:
  • Phone: 330-384-1733
  • Fax: 330-996-5897
Mailing address:
  • Phone: 330-384-1733
  • Fax: 330-996-5897

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: DR. MITCHEL L FROMM
Title or Position: OWNER
Credential: M.D.
Phone: 330-384-1733