Provider Demographics
NPI:1518156983
Name:HEMATOLOGY & ONCOLOGY OF DAYTON, INC.
Entity Type:Organization
Organization Name:HEMATOLOGY & ONCOLOGY OF DAYTON, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:HALUSCHAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:937-771-2421
Mailing Address - Street 1:9000 N MAIN ST STE G-36
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45415-1183
Mailing Address - Country:US
Mailing Address - Phone:937-832-1093
Mailing Address - Fax:
Practice Address - Street 1:9000 N MAIN ST STE G-36
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45415-1183
Practice Address - Country:US
Practice Address - Phone:937-832-7093
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty