Healthcare Provider Details

I. General information

NPI: 1710018619
Provider Name (Legal Business Name): ONCOLOGY HEMATOLOGY CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 01/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5525 MARIE AVE
CINCINNATI OH
45248-3230
US

IV. Provider business mailing address

5525 MARIE AVE
CINCINNATI OH
45248-3230
US

V. Phone/Fax

Practice location:
  • Phone: 513-751-2273
  • Fax: 513-574-7062
Mailing address:
  • Phone: 513-751-2273
  • Fax: 513-574-7062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ABRAM GORDON
Title or Position: CEO / GENERAL COUNSEL
Credential:
Phone: 513-751-2145