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General NPI Number Information
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NPI Number | 1265438246
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Entity Type | Organization
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Legal Business Name | CENTRAL PA HEMATOLOGY & MEDICAL ONCOLOGY ASSOCIATES, PC
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 07/24/2007
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Provider Practice Location Address
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Address Line | 50 N 12TH ST UPPR LEVEL
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City | LEMOYNE
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State | PA
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Zip | 17043-1428
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Country | US
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Telephone | 717-737-5767
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Fax | 717-737-6268
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Provider Business Mailing Address
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Address Line | 50 N 12TH ST UPPR LEVEL
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City | LEMOYNE
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State | PA
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Zip | 17043-1428
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Country | US
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Telephone | 717-737-5767
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Fax | 717-737-6268
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | JOYCE ANN MCCORKLE
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Credential | RN
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Telephone | 717-737-5767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | PA
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