Healthcare Provider Details
I. General information
NPI: 1871529230
Provider Name (Legal Business Name): ONCOLOGY ASSOCIATES OF VIRGINIA PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/25/2006
Last Update Date: 10/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
736 BATTLEFIELD BLVD N RADIATION ONCOLOGY DEP
CHESAPEAKE VA
23320-4941
US
IV. Provider business mailing address
PO BOX 844558
BOSTON MA
02284-4558
US
V. Phone/Fax
- Phone: 757-312-6294
- Fax: 757-312-6292
- Phone: 757-312-6294
- Fax: 757-312-6292
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0001X |
| Taxonomy | Radiation Oncology Physician |
| License Number | 0101039452 |
| License Number State | VA |
VIII. Authorized Official
Name: DR.
CHRISTOPHER
CHARLES
SINESI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 757-312-6294