Provider Demographics
NPI:1679844492
Name:ALLIANCE CANCER SPECIALISTS, P.C.
Entity Type:Organization
Organization Name:ALLIANCE CANCER SPECIALISTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:LORD TERZIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-645-1740
Mailing Address - Street 1:1311 BRISTOL PIKE STE 100
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-6415
Mailing Address - Country:US
Mailing Address - Phone:215-645-1740
Mailing Address - Fax:855-720-6876
Practice Address - Street 1:1311 BRISTOL PIKE STE 100
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-6415
Practice Address - Country:US
Practice Address - Phone:215-645-1740
Practice Address - Fax:855-720-6876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-25
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332900000XSuppliersNon-Pharmacy Dispensing Site