MEDICARE: PENN VIEW RADIATION ONCOLOGY, LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician		PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114906856
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PENN VIEW RADIATION ONCOLOGY, LTD

Provider Business Mailing Address
First Line	:	PO BOX 892
Second Line	:
City	:	CONCORDVILLE
State	:	PA
Zip	:	19331-0892
Country	:	US
Telephone Number	:	866-412-3192
Fax Number	:	610-372-3735

Provider Business Practice Location Address
First Line	:	700 HORIZON DR
Second Line	:
City	:	CHALFONT
State	:	PA
Zip	:	18914-3967
Country	:	US
Telephone Number	:	866-412-3192
Fax Number	:	610-372-3735

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARTIN HIGHTOWER
Credential	:	MD
Telephone Number	:	215-822-9062

Provider Enumeration Date	:	01/11/2006
Last Update Date	:	11/06/2007

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