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NPI Code Detail

MEDICARE: RADIATION THERAPY OF WINCHESTER, LLC

MEDICARE: RADIATION THERAPY OF WINCHESTER, LLC
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
1261QX0203XRadiation Oncology Clinic/Center

General Provider Information

NPI Number : 1578614459
Entity Type Code : Organization
Provider Name (Legal Business Name) : RADIATION THERAPY OF WINCHESTER, LLC
Provider Business Mailing Address
First Line : 620 WASHINGTON ST
Second Line :
City : WINCHESTER
State : MA
Zip : 01890-1328
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 620 WASHINGTON ST
Second Line :
City : WINCHESTER
State : MA
Zip : 01890-1328
Country : US
Telephone Number : 508-897-1501
Fax Number :
Authorized Official
Title or Position : CFO
Name : MR. ARTHUR BYRD
Credential :
Telephone Number : 508-897-1501
Provider Enumeration Date : 01/16/2007
Last Update Date : 09/27/2021

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