Healthcare Provider Details

I. General information

NPI: 1154438570
Provider Name (Legal Business Name): VIRGINIA RADIATION ONCOLOGY ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 10/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 JOHNSTON WILLIS DR
RICHMOND VA
23235-4730
US

IV. Provider business mailing address

1401 JOHNSTON WILLIS DR
RICHMOND VA
23235-4730
US

V. Phone/Fax

Practice location:
  • Phone: 804-330-2164
  • Fax: 804-330-2325
Mailing address:
  • Phone: 804-330-2164
  • Fax: 804-330-2325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: THOMAS J EICHLER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 804-330-2164