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EAST SHORE ONCOLOGY PC NPI 1457328668


NPI Information

NPI: 1457328668
Provider Name: EAST SHORE ONCOLOGY PC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
750 E PARK DR
HARRISBURG, PA
ZIP 17111
Phone: (717) 558-7350
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EAST SHORE ONCOLOGY PC is a hematology and oncology internal medicine in Harrisburg, PA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. EAST SHORE ONCOLOGY PC NPI is 1457328668. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

750 E PARK DR
HARRISBURG, PA
ZIP 17111-758
Phone: (717) 558-7350
Fax: (717) 558-7353

The provider's authorized official is Ronda L. Thomas .
The authorized official title is Office Manager and has the following contact phone number (717) 558-7350.

The enumeration date for this NPI number is 3/7/2006 and was last updated on 3/11/2008.


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
1207RH0003XInternal MedicineHematology & OncologyMD031315EPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102440100OTHERPENNSYLVANIAKEYSTONE CENTRAL
202440100OTHERPENNSYLVANIASENIOR BLUE
373750OTHERPENNSYLVANIAHEALTH AMERICA
47195254OTHERPENNSYLVANIAGATEWAY
5031961MEDICARE PINPENNSYLVANIA
602440100OTHERPENNSYLVANIACAPITAL BLUE CROSS
7472428OTHERPENNSYLVANIAAETNA
80010993580002MEDICAIDPENNSYLVANIA

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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