Provider Demographics
NPI:1124193891
Name:NORFOLK CENTER FOR CANCER CARE & HEMATOLOGY PC
Entity Type:Organization
Organization Name:NORFOLK CENTER FOR CANCER CARE & HEMATOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SATINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:DHILLON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-427-5599
Mailing Address - Street 1:1073 PLEASANT STREET
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301
Mailing Address - Country:US
Mailing Address - Phone:508-427-5599
Mailing Address - Fax:508-427-9349
Practice Address - Street 1:1073 PLEASANT STREET
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301
Practice Address - Country:US
Practice Address - Phone:508-427-5599
Practice Address - Fax:508-427-9349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0021082OtherNHP
DD1961OtherMEDICARE RR
MA688212OtherTUFTS
MA9702890Medicaid
MAM17627OtherBCBS
DD1961OtherMEDICARE RR
MAM17627OtherBCBS
MAM20903Medicare ID - Type Unspecified