Provider Demographics
NPI:1093109670
Name:TMA RADIATION ONCOLOGY SERVICES LLC
Entity Type:Organization
Organization Name:TMA RADIATION ONCOLOGY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOUNZER
Authorized Official - Middle Name:
Authorized Official - Last Name:TCHELEBI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-963-7381
Mailing Address - Street 1:374 STOCKHOLM ST
Mailing Address - Street 2:SUITE C 08
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11237-4006
Mailing Address - Country:US
Mailing Address - Phone:718-963-7381
Mailing Address - Fax:718-963-7744
Practice Address - Street 1:374 STOCKHOLM ST
Practice Address - Street 2:SUITE C 08
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11237-4006
Practice Address - Country:US
Practice Address - Phone:718-963-7381
Practice Address - Fax:718-963-7744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-23
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty