Provider Demographics
NPI:1710917968
Name:RADIATION ONCOLOGISTS PA
Entity Type:Organization
Organization Name:RADIATION ONCOLOGISTS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JON
Authorized Official - Middle Name:
Authorized Official - Last Name:STRASSER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-623-4824
Mailing Address - Street 1:PO BOX 12870
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19850-2870
Mailing Address - Country:US
Mailing Address - Phone:302-709-4487
Mailing Address - Fax:302-709-2413
Practice Address - Street 1:RADIATION ONCOLOGISTS PA
Practice Address - Street 2:4701 OGLETOWN-STANTON ROAD
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2055
Practice Address - Country:US
Practice Address - Phone:302-733-0806
Practice Address - Fax:302-733-0854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018314530001Medicaid
DE0000162002Medicaid
DE=========OtherTAX ID
MD967731301Medicaid
DE0000162002Medicaid
MD047MMedicare PIN