Provider Demographics
NPI:1619375920
Name:ONCOLOGY AND HEMATOLOGY OF SEAFORD, INC
Entity Type:Organization
Organization Name:ONCOLOGY AND HEMATOLOGY OF SEAFORD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:K
Authorized Official - Last Name:TULL-BAYNUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-448-5527
Mailing Address - Street 1:1340 MIDDLEFORD RD
Mailing Address - Street 2:SUITE 402
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-3665
Mailing Address - Country:US
Mailing Address - Phone:302-629-0260
Mailing Address - Fax:302-629-3418
Practice Address - Street 1:1340 MIDDLEFORD RD
Practice Address - Street 2:SUITE 402
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-3665
Practice Address - Country:US
Practice Address - Phone:302-629-0260
Practice Address - Fax:302-629-3418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-18
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty