Provider Demographics
NPI:1689397267
Name:POMAZI, OLIVER
Entity Type:Individual
Prefix:MR
First Name:OLIVER
Middle Name:
Last Name:POMAZI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 LEWIS AVENUE
Mailing Address - Street 2:RADIATION ONCOLOGY C/O OLIVER POMAZI
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06451
Mailing Address - Country:US
Mailing Address - Phone:203-694-8200
Mailing Address - Fax:
Practice Address - Street 1:435 LEWIS AVENUE
Practice Address - Street 2:RADIATION ONCOLOGY C/O OLIVER POMAZI
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06451
Practice Address - Country:US
Practice Address - Phone:203-694-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-20
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant