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NORTHEAST RADIATION ONCOLOGY CENTER NPI 1891794467


NPI Information

NPI: 1891794467
Provider Name: NORTHEAST RADIATION ONCOLOGY CENTER
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
1110 MEADE ST
DUNMORE, PA
ZIP 18512
Phone: (570) 504-7200
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NORTHEAST RADIATION ONCOLOGY CENTER is a radiation oncology radiology in Dunmore, PA. 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. NORTHEAST RADIATION ONCOLOGY CENTER NPI is 1891794467. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1110 MEADE ST
DUNMORE, PA
ZIP 18512
Phone: (570) 504-7200
Fax: (570) 504-7209

The provider's authorized official is Christopher A Peters .
The authorized official title is Medical Director and has the following contact phone number (570) 504-7200.

The enumeration date for this NPI number is 7/18/2005 and was last updated on 4/10/2019.


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
12085R0001XRadiologyRadiation OncologyYes

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
102735995MEDICAIDNEW YORK
20059609MEDICAIDNEW JERSEY
3101215665MEDICAIDPENNSYLVANIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.