Organization · Type 2 NPI

Physicians' Billing of MGH

Hematology & Oncology Physician · Marion, IN

NPI number 1659569093 Active

Practice location

831 N Theatre Rd
Marion, IN 46952-1701

Fax (765) 662-4470

Mailing address

1251 W Kem Rd, Suite E
Marion, IN 46952-2555

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 1659569093

Physicians' Billing of MGH's National Provider Identifier is 1659569093, issued on Oct 11, 2007. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Marion, IN. The record was last updated on Feb 19, 2009.