MEDICARE: CHESTER COUNTY HEMATOLOGY ONCOLOGY SERVICES

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

General Provider Information

NPI Number	:	1396751855
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHESTER COUNTY HEMATOLOGY ONCOLOGY SERVICES

Provider Business Mailing Address
First Line	:	440 E MARSHALL ST
Second Line	:	SUITE 201
City	:	WEST CHESTER
State	:	PA
Zip	:	19380-5414
Country	:	US
Telephone Number	:	610-738-2500
Fax Number	:	610-738-2540

Provider Business Practice Location Address
First Line	:	440 E MARSHALL ST
Second Line	:	SUITE 201
City	:	WEST CHESTER
State	:	PA
Zip	:	19380-5414
Country	:	US
Telephone Number	:	610-738-2500
Fax Number	:	610-738-2540

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. SHERRY KENNEDY
Credential	:
Telephone Number	:	610-738-2508

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	10/30/2007

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