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NPI Code Detail

MEDICARE: CATSKILL RADIATION ONCOLOGY CONSULTANTS, PLLC

MEDICARE: CATSKILL RADIATION ONCOLOGY CONSULTANTS, PLLC
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
12085R0001XRadiation Oncology Physician

Other Identifiers

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

General Provider Information

NPI Number : 1922052315
Entity Type Code : Organization
Provider Name (Legal Business Name) : CATSKILL RADIATION ONCOLOGY CONSULTANTS, PLLC
Provider Business Mailing Address
First Line : 1 INTERNATIONAL BLVD
Second Line : SUITE 1130
City : MAHWAH
State : NJ
Zip : 07495-0027
Country : US
Telephone Number : 201-252-8468
Fax Number : 201-252-8472
Provider Business Practice Location Address
First Line : 60 PROSPECT AVE
Second Line :
City : MIDDLETOWN
State : NY
Zip : 10940-4133
Country : US
Telephone Number : 845-695-5931
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : MICHAEL WESSON
Credential : M.D.
Telephone Number : 201-252-8468
Provider Enumeration Date : 05/20/2006
Last Update Date : 02/28/2011

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