Healthcare Provider Details

I. General information

NPI: 1669401303
Provider Name (Legal Business Name): ONCOLOGY PARTNERS NETWORK LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 03/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5520 CHEVIOT RD
CINCINNATI OH
45247-7069
US

IV. Provider business mailing address

5520 CHEVIOT RD
CINCINNATI OH
45247-7069
US

V. Phone/Fax

Practice location:
  • Phone: 513-451-4033
  • Fax: 513-451-4118
Mailing address:
  • Phone: 513-451-4033
  • Fax: 513-451-4118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number0692RT
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number0692RT
License Number StateOH

VIII. Authorized Official

Name: JAMES F MAHER
Title or Position: PRESIDENT
Credential: MD
Phone: 513-451-4033