Basic Information
| Provider Information | |||||||||
| NPI: | 1346234895 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CENTRAL PENNSYLVANIA RADIATION ONCOLOGY, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 11268 | ||||||||
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| City: | LANCASTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 176051268 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172933223 | ||||||||
| FaxNumber: | 7173902455 | ||||||||
| Practice Location | |||||||||
| Address1: | 775 S ARLINGTON AVE | ||||||||
| Address2: | |||||||||
| City: | HARRISBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 171095002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7175419240 | ||||||||
| FaxNumber: | 7175419243 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/09/2005 | ||||||||
| LastUpdateDate: | 12/04/2007 | ||||||||
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| AuthorizedOfficialLastName: | UNAL | ||||||||
| AuthorizedOfficialFirstName: | ABDURRAHMAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7175419240 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0001X | PA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Radiology | Radiation Oncology |
No ID Information.