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SOUTH SURBURBAN ONCOLOGY NPI 1043492846


NPI Information

NPI: 1043492846
Provider Name: SOUTH SURBURBAN ONCOLOGY

Other Name: SOUTH SURBURBAN ONCOLOGY DOCTORS

Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
55 CHRISTY DR
BROCKTON, MA
ZIP 02301
Phone: (508) 897-1505
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SOUTH SURBURBAN ONCOLOGY is a radiation oncology radiology in Brockton, MA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. SOUTH SURBURBAN ONCOLOGY NPI is 1043492846. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is South Surburban Oncology Doctors.

The provider's business location address is:

55 CHRISTY DR
BROCKTON, MA
ZIP 02301-813
Phone: (508) 897-1505

The provider's authorized official is Harold Joseph Barthold .
The authorized official title is Medical Director and has the following contact phone number (508) 897-1505.

The enumeration date for this NPI number is 12/4/2007 and was last updated on 12/4/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation OncologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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