MEDICARE: CANCER TREATMENT SERVICES INTERNATIONAL ARIZONALLC

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	174400000X	Specialist		DE

General Provider Information

NPI Number	:	1346458551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CANCER TREATMENT SERVICES INTERNATIONAL ARIZONALLC

Provider Business Mailing Address
First Line	:	5900 BAUM BLVD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-3808
Country	:	US
Telephone Number	:	412-889-7094
Fax Number	:

Provider Business Practice Location Address
First Line	:	5900 BAUM BLVD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-3808
Country	:	US
Telephone Number	:	412-889-7094
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	JOSEPH NICHOLAS
Credential	:
Telephone Number	:	412-889-7094

Provider Enumeration Date	:	05/19/2007
Last Update Date	:	08/22/2020

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