39D2028285 CLIA NUMBER - RITTENHOUSE HEMATOLOGY/ONCOLOGY

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Laboratory Demographics

CLIA Number: 39D2028285

Facility Name: RITTENHOUSE HEMATOLOGY/ONCOLOGY

Facility Address:
1 PRESIDENTIAL BLVD
BALA CYNWYD, PA
ZIP 19004
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Facility Phone Number: 215 561-0809

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1982786257

Taxonomy: 207RH0003X - Internal Medicine
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.

CLIA Record

Field Name	Field Value
CLIA Number	39D2028285
LAB Type	Physician Office
Facility Name	RITTENHOUSE HEMATOLOGY/ONCOLOGY
Street	1 PRESIDENTIAL BLVD
City	BALA CYNWYD
State	PA
ZIP	19004
Phone	215 561-0809
CertificateType	2
CertificateEffectiveDate	6/13/2022
CertificateExpirationDate	6/12/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024