SOUTHERN NEW ENGLAND REGIONAL CANCER CENTER LLC NPI 1134109697

NPI Information

SOUTHERN NEW ENGLAND REGIONAL CANCER CENTER, LLC is a radiation oncology radiology in Woonsocket, RI. 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. SOUTHERN NEW ENGLAND REGIONAL CANCER CENTER, LLC NPI is 1134109697. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

115 CASS AVE
WOONSOCKET, RI
ZIP 02895-705
Phone: (401) 356-1701
Fax: (401) 356-4537

The provider's authorized official is Shaden Marzouk .
The authorized official title is President and has the following contact phone number (239) 931-7254.

The CLIA number assigned to this NPI record is 41D2285670 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/20/2006 and was last updated on 9/25/2023.

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:

Other Identifiers

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