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INTENSITY MODULATED RADIATION THERAPY ASSOCIATES P C NPI 1649279241


NPI Information

NPI: 1649279241
Provider Name: INTENSITY MODULATED RADIATION THERAPY ASSOCIATES P C
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
231 E BROWN ST
EAST STROUDSBURG, PA
ZIP 18301
Phone: (570) 476-3488
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INTENSITY MODULATED RADIATION THERAPY ASSOCIATES P C is a specialist in East Stroudsburg, PA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. INTENSITY MODULATED RADIATION THERAPY ASSOCIATES P C NPI is 1649279241. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

231 E BROWN ST
EAST STROUDSBURG, PA
ZIP 18301-005
Phone: (570) 476-3488
Fax: (570) 476-3473

The provider's authorized official is Michael J. Greenberg .
The authorized official title is Radiation Oncologist and has the following contact phone number (570) 476-3488.

The enumeration date for this NPI number is 7/18/2005 and was last updated on 6/13/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

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
1=========OTHERPENNSYLVANIATAX I.D. NUMBER
2124335MEDICARE PINPENNSYLVANIA
3001730254MEDICAIDPENNSYLVANIA

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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