Healthcare Provider Details
I. General information
NPI: 1497712046
Provider Name (Legal Business Name): REGIONAL HEMATOLOGY ONCOLOGY ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/27/2006
Last Update Date: 01/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
240 MIDDLETOWN BLVD SUITE 205
LANGHORNE PA
19047-1816
US
IV. Provider business mailing address
240 MIDDLETOWN BLVD SUITE 205
LANGHORNE PA
19047-1816
US
V. Phone/Fax
- Phone: 215-752-2424
- Fax: 215-750-0656
- Phone: 215-752-2424
- Fax: 215-750-0656
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 1294840001 |
| License Number State | PA |
VIII. Authorized Official
Name:
CHERYL
ANN
DOWNS
Title or Position: ADMINISTRATOR
Credential: CPC, CCP
Phone: 215-750-6119