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COASTAL ONCOLOGY & HEMATOLOGY PA NPI 1912077090


NPI Information

NPI: 1912077090
Provider Name: COASTAL ONCOLOGY & HEMATOLOGY PA
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
3322 WELLONS BLVD
NEW BERN, NC
ZIP 28562
Phone: (252) 634-1616
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COASTAL ONCOLOGY & HEMATOLOGY PA is a hematology and oncology internal medicine in New Bern, NC. 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. COASTAL ONCOLOGY & HEMATOLOGY PA NPI is 1912077090. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3322 WELLONS BLVD
NEW BERN, NC
ZIP 28562-290
Phone: (252) 634-1616
Fax: (252) 634-1617

The provider's authorized official is Anna G Faidas .
The authorized official title is President and has the following contact phone number (252) 634-1616.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & Oncology9601134NORTH CAROLINAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
189012NAMEDICAIDNORTH CAROLINA
20285ROTHERNORTH CAROLINABLUE CROSS BLUE SHIELD #

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: 5/5/2024

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