Provider Demographics
NPI:1265470850
Name:ABINGTON RADIATION ONCOLOGY, PC
Entity Type:Organization
Organization Name:ABINGTON RADIATION ONCOLOGY, PC
Other - Org Name:AMH RADIATION MEDICINE ASSOCIATES, PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-292-0847
Mailing Address - Street 1:P O BOX 13700-1132
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19191-0001
Mailing Address - Country:US
Mailing Address - Phone:717-292-0847
Mailing Address - Fax:717-292-0847
Practice Address - Street 1:1200 OLD YORK RD
Practice Address - Street 2:DEPT OF RADIATION ONCLOLOY
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3720
Practice Address - Country:US
Practice Address - Phone:215-481-2800
Practice Address - Fax:215-481-6741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0427403000OtherIBC PERSONAL CHOICE
PA54488OtherAETNA/US HEALTHCARE
CF4335OtherRAILROAD MEDICARE
PA0011874600001Medicaid
PAAM0000604904OtherPA BLUE SHIELD
PA1029087OtherKEYSTONE MERCY HEALTH PLA
PA0427403000OtherKEYSTONE HEALTH PLAN EAST
CF4335OtherRAILROAD MEDICARE
PA604904Medicare PIN