Organization · Type 2 NPI

Fort Wayne Medical Oncology and Hematology, Inc.

Hematology & Oncology Physician · Angola, IN

NPI number 1528044005 Active

Practice location

516 E Maumee St
Angola, IN 46703-2017

Fax (260) 668-3897

Mailing address

PO Box 15099
Fort Wayne, IN 46885-5099

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XNone listed

Hematology & Oncology Physician: 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.

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About NPI 1528044005

Fort Wayne Medical Oncology and Hematology, Inc.'s National Provider Identifier is 1528044005, issued on Dec 16, 2005. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Angola, IN. The record was last updated on Oct 11, 2007.