Provider Demographics
NPI:1235462458
Name:ASSOCIATES IN HEMATOLOGY-ONCOLOGY, P.C.
Entity Type:Organization
Organization Name:ASSOCIATES IN HEMATOLOGY-ONCOLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF ASSOCIATES IN HEMATOLO
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:J
Authorized Official - Last Name:VIVACQUA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-619-7420
Mailing Address - Street 1:1 MEDICAL CENTER BLVD
Mailing Address - Street 2:STE 341 CROZER REGIONAL CANCER CENTER
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-3902
Mailing Address - Country:US
Mailing Address - Phone:610-619-7420
Mailing Address - Fax:610-876-6923
Practice Address - Street 1:701 N CLAYTON ST
Practice Address - Street 2:STE 502 MEDICAL OFFICE BUILDING
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-3165
Practice Address - Country:US
Practice Address - Phone:610-619-7420
Practice Address - Fax:610-876-6923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-08
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty