Provider Demographics
NPI:1386667467
Name:NORFOLK RADIATION ONCOLOGY ASSOCIATES
Entity Type:Organization
Organization Name:NORFOLK RADIATION ONCOLOGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:VINUBHAI
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-698-3288
Mailing Address - Street 1:PO BOX 847201
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02284-7201
Mailing Address - Country:US
Mailing Address - Phone:508-698-3288
Mailing Address - Fax:508-698-3277
Practice Address - Street 1:70 WALNUT ST
Practice Address - Street 2:
Practice Address - City:FOXBORO
Practice Address - State:MA
Practice Address - Zip Code:02035-5312
Practice Address - Country:US
Practice Address - Phone:508-698-3288
Practice Address - Fax:508-698-3277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM15944OtherBLUE SHIELD
MA602139OtherTUFTS HEALTH PLAN
MA9773142Medicaid
MA613001OtherHARVARD PILGRIM HEALTH
MAM15944Medicare ID - Type Unspecified