Healthcare Provider Details

I. General information

NPI: 1841258696
Provider Name (Legal Business Name): TERRENCE P CESCON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 11/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 S 5TH AVE BLDG N GROUND READING HOSPITAL REGIONAL CANCER CTR
WEST READING PA
19611-2143
US

IV. Provider business mailing address

PO BOX 13579
READING PA
19612-3579
US

V. Phone/Fax

Practice location:
  • Phone: 484-628-0900
  • Fax: 484-628-0901
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD043684L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: